Stephy Publishers

  SOJ Orthopaedics and Rehabilitation - (SOJOR)| Stephy Publishers Abstract Reconstruction of injuries and defects in the distal third of the lower extremities represents a challenge for the plastic surgeon. The clinical case of a 46-year-old patient with a sequela of electrical burn in the distal third of the leg and the proximal third of the right foot is presented, who underwent skin coverage with a reverse flow sural flap. The treatment performed is described, as well as the surgical technique. We consider that the reverse flow sural flap is an optimal option when evaluating different forms of coverage in lesions of the distal third of the lower extremities, with positive long-term results. Keywords Electrical burn, Reconstructive surgery, Sural flap Introduction The repair of injuries and defects of the lower limb located in its distal third constitutes a challenge for reconstructive plastic surgery. The research reflected in different bibliographic sources has allowed

  SOJ Diabetes and Endocrinology Care - (SOJDEC) | Stephy Publishers Abstract Anorexia nervosa is a severe and potentially lethal eating disorder. In transgender youth with severe gender dysphoria, a severe eating disorder (proposed name: dysphorexia), coherent with anorexia nervosa may be triggered by the desire to avoid the cisgender pubertal transition. In these patients, gender-affirming hormone therapy can be extremely effective. We report hereby the cases of two female-to-male transsexual patients with severe gender dysphoria whose anorexia nervosa was related to their pubertal development and who promptly recovered when they started gender-affirming hormone therapy with testosterone, after very limited success with standard psychotherapy and pharmacotherapy for anorexia nervosa. Our patients could not access pubertal suppression due to lack of parental consent in one case and failure to express the conflict in the other. We postulate that avoiding the cisgender pubertal trans

  SOJ Medical and Clinical Case Reports - (SOJMCCR) | Stephy Publishers Abstract Isolated spontaneous coronary intramural hematoma is a unique subset of spontaneous coronary artery dissection that is characterized by a hemorrhage limited to the medial– adventitial layers, causing subsequent hematoma formation without visible intimal flaps. It is infrequent and serious coronary vessel wall pathology, with poorly understood underlying pathogenic mechanisms. Affected individuals may present with a broad spectrum of symptoms ranging from acute coronary syndromes (ACS) to cardiogenic shock or even sudden cardiac death. The disease entity causes challenges in terms of both diagnostics and treatment strategy. We report a case of intramural coronary hematoma in a patient presenting with non ST- ‐ segment elevation myocardial infarction. Keywords Intramural hematoma, Pathogenic mechanisms, Lumen compromise, Coronary blood, Clopidogrel Introduction Spontaneous coronary intramural h

  Journal of Psychological Science and Research - (JPsSR)| Stephy Publishers Abstract The aims of this paper are as follows: 1. To put Hearts & Minds on the map as a key approach to organisational change. 2. To explain the underlying mechanism of Hearts & Minds. 3. To show that Hearts & Minds can be equally successfully deployed for organisational change in the commercial sector. 4. To explain how Hearts & Minds achieves a higher level of permanence compared with other approaches. The paper traces the military origins of Hearts & Minds from the Malayan Emergency and the Borneo Campaign through to the final version in Operation Storm. The method centres around working within the values of the target audience, focusing on the needs of that audience and mimicking the military model. The results from the commercial adaptation are equally reliable as in the military model and permanence of the transformation is equally present. The key reasons why He

  Pregnancy and Women’s Health Care International Journal - (PWHCIJ)| Stephy Publishers Abstract In this article, we discuss the strategic measures adopted in Brazil to reduce the high rates of cesarean sections. We present specific programs for both public health and supplementary health and for improving maternal and child health. We hope that these governmental initiatives, coupled with a paradigm shift in the Brazilian society regarding childbirth and women's health, will reduce cesarean section rates in the short and medium run, leading to positive outcomes for maternal and children's health and well-being. Keywords: Cesarean section, Delivery, obstetrics, Quality health care Introduction: Childbirth in a hospital setting seeks to ensure safe healthcare services for women and newborns. The advancement of obstetrics has greatly contributed to prevent maternal and perinatal morbidity and mortality. However, it has increased the intervention rates for both women and

  SOJ Neurology and Neuroscience - (SOJNN) | Stephy Publishers Abstract: It is well known that some women, during their premenstrual phase, express Hostility (Ho) and Depressive symptoms (De). Various studies indicate that Ho and De correlate with circulating concentrations of cytokines. These data support the hypothesis of an inflammation-sensitive mechanism linked to certain psychological states. The aim of this study was to correlate Ho and De with selective proinflammatory cytokines during the menstrual cycle in young women. Twenty-two physically healthy medical students, mean age 22.95+2.83(SD), were studied. All reported regular menses that ranged between 27-33 days. Blood was drawn three times across a single cycle: at follicular phase (FL), at mid luteal phase (ML) and at late luteal phase (LL) corresponding to the premenstrual phase. The following proinflammatory cytokines were determined at each sample: Interleukin 8 (IL-8), Interleukin 6 (IL-6), Interleukin 1α (IL-1α), and T

  Modern Research in Plastic and Reconstructive Surgery - (MRPRS) | Stephy Publishers Abstract Rising number of aesthetic procedures in men directed to enhance genitalia has alerted the medical community due to several complications related to them. Most of those procedures are performed in an office under local anesthesia using different kind of substances, most of them known to be harmful for humans; still, patients seek those procedures as a “safe” way to meet their goals. We present a reconstruction case due to Polymethilmetacrylate injection for penile enhancement. Keywords Penile, Reconstruction, Polymethilmetacrylate Case Report It isn’t new nor a recent practice of several so called “easy”, “in and out office” enhancing procedures. History of adjuvant substances such as petroleum jelly (liquid Vaseline) date back 1886 reported by Balzer 1  used to correct a scrotal deformity caused by tuberculosis infection, he described the complications caused by its use. Polymethy

  SOJ Pediatrics and Clinical Neonatology - (SOJPCN)| Stephy Publishers Introduction Immune thrombocytopenic (ITP) is an autoimmune disease that affects 9.5/100,000 adults in the population. 1  It is characterized by autoimmune destruction of platelets leading to potentially life-threatening thrombocytopenia. About 7% of pregnant mothers are affected by thrombocytopenia with 1 to 10 per 10,000 mothers being affected with ITP. Studies have shown that ITP is generally a benign condition in the birthing mother and rarely has a long-lasting effect on the newborn child. 2  In the rare event that the newborn is severely affected, treatment is required. We present a case of ITP in both a mother and her newborn. Case Report The infant is a 40 weeks and 1 days gestational female who was born via spontaneous vaginal delivery to a 35 year old now gravida 3, para 3 Hispanic mother with a history of ITP of pregnancy. Mother was group B streptococcus positive but otherwise negative for all ot

  SOJ Complementary and Emergency Medicine - (SOJCEM)| Stephy publishers Abstract We report the clinical case of a 76- year-old patient who was admitted to the emergency department due to respiratory distress. He had a history of Systemic arterial hypertension, type 2 diabetes mellitus and hypothyroidism. The patient reports symptoms that began three days prior to admission, including dyspnea, fever, myalgia, arthralgia, headache and respiratory distress that was exacerbated 1 day prior to admission. Physical examination revealed a conscious patient with the following vital signs: blood pressure 120/62mmHg, heart rate 109bpm, respiratory rate 28rpm, temperature 38.8°C, arterial oxygen saturation 76%, dyspnea, use of accessory muscles, tachycardia, tachypnea, which met the operational definition for Covid-19. Upon admission to the service, a pulmonary ultrasound was performed in which subpleural consolidations were identified, predominantly in the right hemithorax, as well as an air bro

  SOJ Dental and Oral Disorder - (SOJDOD)| Stephy Publishers Editorial Although overall failure rates in implant dentistry are low,1 peri-implant diseases have been recognized as a common biologic complication that can reduce the long-term success of dental implants.2 A recent systematic review and meta-analysis reported prevalence of peri-implant mucositis and peri-implantitis to be at 65% and 47%, respectively.3 Peri-implant mucositis and peri-implantitis are biofilm-associated, inflammatory conditions of peri-implant tissues.4 There has been significant evidence implying the role of bacterial plaque in the initiation of inflammatory responses in the gingiva of natural teeth as well as peri-implant mucosa.5,6 Peri-implant disease etiology is multi factorial in nature,7 and numerous factors may contribute to plaque accumulation and subsequent inflammation, playing a role as risk indicators for the development of peri-implant disease.2,8,9 The anatomy and histology of the mucosal at

  Global Scientific Research in Environmental Science - (GSRES)| Stephy Publishers Abstract The article highlights the results of a study of volcanic processes on the large active stratovolcano Bezymyanny, located on the Eastern mountain range of Kamchatka, in the Klyuchevskoy group of Holocene volcanoes. It is one of the most active volcanoes in the world, characterized by continuous short-term explosive eruptions with powerful outbursts of ash material, accompanied by lava flows and the formation of extrusions. Among Russian and foreign volcanologists, this volcano became world famous on March 30, 1956, when a catastrophic eruption occurred, which in geological literature was called a "directed explosion" or "an eruption of the Bezymyanny type." In addition to volcanic structures, peculiar volcanic-sedimentary deposits of the volcano were also investigated, represented by the so-called tefroids, which are the product of the movement and washing of volcanic-clast

  Trends in Nursing and Health Care Research - (TNHCR) | Stephy Publishers Abstract Local herbs contain antibiotic and anti‒inflammatory constituents for treatment of certain diseases. The use of local herbs is dated back to many decades most especially in African countries. The 10 different oral conditions (toothache/decay, gingivitis, ulcerative gingivitis, angular stomatitis, mouth ulcers, swollen tonsil, oral thrush, tonsillitis, and black tongue) treatable with plants in traditional health practice documented in the literature were also noted in this study except for black tongue. The objective of this study is to investigate the effect of local herbs on children’s oral health in Ado Ekiti. Fifty questionnaires were randomly distributed among parents in the study area. Data were collected and analyzed in percentage and graphical representations. It was concluded that local herbs has varied effects on oral health of children in the study area. It was therefore recommended that He

  SOJ Complementary and Emergency Medicine - (SOJCEM) | Stephy Publishers Abstract Introduction:   Cardiovascular disease (CVD) is a common term used to refer to disorders affecting the blood vessels or the heart that have led to the majority of deaths worldwide. Aim:   The aim of the present study was to explore nurse's perception of their role and their experiences in relation to engaging with cardiovascular disease prevention in the primary care setting. Methods:   In the selection of clinical nurses who were interested in primary care to participate, qualitative describing design and impracticable sampling were used. The data collection methods include semi-structured and one-on-one interviews. The results were analyzed by the methodology for qualitative content analysis. Results:  In this study, 10 nurses were participated and their role in CVD prevention plays a part in health education, diagnosis and consultation, reassurance, monitoring of vital signs, and collectin