Stephy Publishers

          SOJ Dental and Oral Disorder  - (SOJDOD) |  Stephy Publishers ISSN 2768-6221 Abstract The Hertwig’s Epithelial Root Sheath (HERS) includes two layers: the Outer Enamel Epithelial Root Sheath and the Inner Enamel Epithelium Epithelium (IEE and OEE). They contribute both to the root formation. The inner columnar epithelial cells (IEE) of the dental papilla are formed by cells located near the dental papilla. They are at the origin of odontoblasts expressing FGF-4, -8 and -9 and at later stages BMP-2 and BMP7. The Outer Epithelial cells (OEE) express SHH, Msx2, enamel matrix proteins, paxillin, and Pax-6. When the cells of the HERS dissociate, intercellular spaces enlarge. Cells migrate from the epithelial sac, and underwent phenotypic inter conversion into cementoblasts and later cementocytes. The Hertwigs enamel epithelium contributes to cementum formation. Epithelial rest of Malassez is remnants of the Hertwig’s root sheath. They are im...

Surgery International Open Access Journal  - (SIOAJ)|  Stephy Publishers Abstract Introduction: In an observational and retrospective study we wish to demonstrate that the performance of Preoperative Ultrasound prior to implantation of a Totally Implantable Venous Access Port (TIVAP) using Cephalic Vein Cut-down (CVC) improves the success rate and reduces complications. Method: Between 2008 and 2018, 860 Cephalic Veins (CV) were studied preoperatively with Ultrasound. The Cephalic Vein was not suitable with a diameter less than or equal to 3.3mm. Diameters, procedure times, success rate, follow-ups and complications were studied. Results: An Ultrasound was performed on 860CV, 146 (16.9%) were ruled out for implantation for various reasons. Of the 714CV to study, they belonged to 681 patients (63.3% women), with a mean age of 60.5 years (19-87). Age and colon neoplasia were significantly higher in males (p<0.001). Of the 714 valid cases, in 12 cases (1.7%) there was ...

  Journal of Psychological Science and Research - (JPsSR)| Stephy Publishers Abstract The therapeutic alliance between patient and Clinical Social Worker/Therapist is directly influenced by clinical supervision that therapists receive. This article will bring awareness to Clinical Supervisors’ abilities to correct and adjust to how they are providing Clinical Supervision or how Clinical Social Workers are receiving supervision.   Keywords: Therapist, Patient, Social worker, Supervision The Influence of Clinical Supervision of Therapists in the Therapeutic Alliance Between Patient and Therapist I entered into the field of Social Work believing I will learn to incorporate my supervisors’ teachings while exploring my own philosophy and style. But I quickly learned that the outcome of successful treatment between the patients I was treating and myself as their therapist was influenced heavily by what my supervisors were teaching me from their subjective perspectives. Su...

  Trends in Nursing and Health Care Research - (TNHCR)| Stephy Publishers Abstract  In a paper published on scientific American, February 2017, proposed that physical exercising does no help to energy expenditure so is useless to losing obesity. However, this is unbelievable and rebels the fact that exercising consume energy; furthermore, those who keep exercising and are good at sports are always very healthy with good figure, and their abilities to learn are remarkably higher than those who don’t exercise, such as Bruce Lee and many athletes on Olympics. It is a puzzle how the result in this paper was got. Read the paper carefully, noticing that the comparison is between the European people who think more and the Hadza people who only live on hunting and gathering, a relatively primary stage of the society, Hadza people have physical exercising while hunting but they don’t think therein, they just try every place out to find the poisoned giraffe without thinking where had...

  SOJ Diabetes and Endocrinology Care - (SOJDEC)| Stephy Publishers Abstract Aim: Type 2 diabetes mellitus (T2DM) is the most common metabolic disorder and its pathogenesis is characterized by a combination of peripheral insulin resistance and impaired insulin secretary capacity of pancreatic β cell. Over the years, there has been increasing deaths from T2DM. In Myanmar, there is little information on its causes, due to few published data on the prevalence of MS and its association with T2DM. This study aims at identifying the metabolic risk markers leading to MS in T2DM, as well as the impact of MS on the insulin resistance. Methods: Hundred T2DM patients were recruited from Diabetic Clinic, Yangon General Hospital. The clinical evaluation consisted of waist circumference, blood pressure, height and weight measurements; the biochemical analysis included determination of fasting plasma glucose, serum insulin and fasting lipid profile. Plasma glucose level was determined by the glu...

  SOJ Medical and Clinical Case Reports  - (SOJMCCR) |  Stephy Publishers Abstract Emergency Treatment Unit of a hospital is the place where, acutely unwell patients admitted to the hospital, are given the immediate treatment in the critical stage. DGH – Gampaha – Sri Lanka is a tertiary care hospital with a bed strength of 795 with a well - recognized Emergency Treatment Unit. Objective of this study was to evaluate the Emergency Treatment Unit of District General Hospital, Gampaha, Sri Lanka. Data was collected through oobservations, key informant interviews and reviewing registers and records. Findings were subjected to SWOT analysis. 1) Identified strengths included accessibility, Infrastructure, ETU concept, 24 hour service, competent staff, availability of equipment and investigation facilities and Information management. 2) Some weaknesses identified were; shortage of staff, absenteeism, gaps in competency, shortage of equipment and inadequate quality management s...

  Trends in Petroleum Engineering - (TPE)|  Stephy Publishers Abstract High demand for oil and gas has led to exploration of more petroleum resources even at remote areas. The petroleum resources are found in deeper subsurface formations and drilling into such formations requires a well-designed drilling mud with suitable rheological properties in order to avoid or reduce associated drilling problems. This is because rheological properties of drilling muds have considerable effect on the drilling operation and cleaning of the wellbore. Mud engineers therefore use mud additives to influence the properties and functions of the drilling fluid to obtain the desired drilling mud properties especially rheological properties. This study investigated and compared the impact of barite and hematite as weighting agents for water-based drilling muds and their influence on the rheology. Water-based muds of different concentrations of weighting agents (5%, 10%, 15% and 20% of the total weig...

  SOJ Pediatrics and Clinical Neonatology  - (SOJPCN)|  Stephy Publishers Abstract Background: Postoperative outcome in children is multifactorial. Among the reported predictors of postoperative outcome, preoperative anemia has been related to adverse outcome in children. A secondary analysis was undertaken to determine the correlation between hemoglobin levels and postoperative outcome in children included in a cohort of an observational pediatric study published previously since this analysis has not been done. Objective: To determine the correlation between preoperative, intra-operative, postoperative hemoglobin levels and postoperative outcome in children in neurosurgery, abdominal and orthopedic surgery. Methods: Secondary analysis of a sub-cohort of 252 pediatric surgical patients with a median age of 62 months [12.50-144.00]. Results: Preoperative hemoglobin levels were negatively correlated to length of stay in the intensive care unit (LOSICU) (p=0.002)...