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 What is the Impact of Covid-19 Pandemic Era on Pregnant Women Sero-Positivity for Syphilis Among Women Attending Antenatal Care in India and Number of Babies Diagnosed with Congenital Syphilis? Sexually transmitted infections (STIs) still continue to be a major public health problem globally, affecting the quality of life as well as causing serious morbidity and mortality. STIs have a direct and significant impact on reproductive and child health. They can directly cause infertility, cancers as well as pregnancy complications, and indirectly affects individual economies. The information on the number of PW found to be sero positive for Syphilis among women attending antenatal care in India and number of babies diagnosed with Congenital Syphilis is collected from HMIS electronic records of MoHFW, Government of India with key objective to know about the impact of covid-19 era i.e., 2020 and 2021 on prevalence of syphilis by comparing it with the pre pandemic era of 2018 and 2019. I ...

 Skin Cancer: Attitudes and Behaviors Among Adolescents for Sun Protection Sun exposure during childhood and adolescence is an important risk factor for all skin cancers. Sunlight stimulates a multitude of important biological effects on skin, causing, amongst other pathological and carcinogenesis changes. This study was performed to evaluate the knowledge and behaviors among adolescence about the effect of sun`s exposure as a cause of skin cancer. Material and Methods: In this study, subjects between 14 to 19 years of age were recruited from the high schools in Tirana Albania. The participants were administered a questionnaire consisting of items related to knowledge, attitudes and behaviors related to protection protective behavior against skin cancers and sun protection. Descriptive data related to demographics and responses to the questions are presented. Results: A total of 104 participants (mean age 17.63±1.08 years) were included. The study included 90(86.5%) male and14(13.5...

 Case Review: Diversified Wound Management with A Dual-Purpose Wound Occluding Honey Based Ointment The correct and effective management of wounds remains challenging within the wound care discipline even though much effort and attention has been directed toward novel technologies and advanced approaches. As wound healing takes place in four stages, the selection of the appropriate treatment, depending on the respective stage on the patients’ wound, is crucial. In addition, identifying the type of wound might be difficult in some cases, which in combination with the aforementioned further complicates appropriate wound management. This article discusses a single product wound management, by means of case studies, in an attempt to describe a simplified and possibly cost-effective way to manage wounds effectively. The efficient and proper management of wounds remains a clinical problem, frequently causing morbidity and mortality due initial and delayed complications. Consequently, a s...

 Application of Mohs Technique for Squamous Cell Carcinoma of the Nipple Cutaneous squamous cell carcinoma (SCC) of the nipple areolar complex (NAC) is a rare entity with only a few cases reported in the medical literature. The standard treatment for invasive squamous cell carcinoma includes complete surgical excision of the lesion with postoperative assessment of free margins. Although this skin cancer involves the NAC it should be considered as a completely separate entity from other breast cancers, and therefore may be treated differently than breast cancers involving the NAC. Mohs micrographic surgery is a well-accepted technique for non-melanoma skin cancers (NMSC) with its remarkable precision for tumor eradication and tissue-sparing properties which favor excellent aesthetic outcome. We present a clinical case of 75-year-old Caucasian female who presented to our clinic with a papulose, scaly lesion located at her right nipple that was confirmed to be SCC of the nipple. The p...

 Double-Advance Technique for the Closure of Inferior Cleft Lip The Objective is present a case of a medial cleft of the lower lip with associated ankyloglossia and a proposal for a double-advance local flap technique for its closure who attended the Oral and Maxillofacial Surgery Service of the Madre Rafols Hospital, Venezuela. A 4-month-old female patient, presenting a medial cleft of the lower lip with an associated aberrant frenulum of the tongue causing ankyloglossia (Tessier 30). Lingual frenectomy and primary cheiloplasty were performed with a double-advance local flap technique to close the lower labial cleft. A wedge-shaped incision along the labial cleft, with lateral extensions towards the mentolabial sulcus extending bilaterally were performed in order to advance both flaps and place the wound at the limit of the esthetic subunit, as well as a Z-plasty in the vermilion of the lower lip. Postoperative follow-ups did not reveal local complications or tissue dehiscence. Du...

 The Use of Contralateral Autologous Breast Grafting Tissue In Breast Reconstruction: A New Approach Breast reconstruction surgery is an exceptionally important tool for repair of defects and asymmetries caused by the various types of surgical breast cancer treatment. Reconstruction is indicated regardless of lesion location in the breast when a quadrantectomy or sector resection has been performed. Although several surgical techniques are available for reconstruction, we propose a method based on contralateral breast graft replacement to preserve shape and symmetry.  This quasi-experimental study was performed with a sample of 42 women who had undergone quadrantectomy or wide resection, followed by radiation therapy, for treatment of breast cancer. The outcomes of interest were breast aesthetics and symmetry in the immediate postoperative period and after 3 months of radiation therapy. All patients were photographed preoperatively, pre-radiation therapy, and 3 months post rad...

 Intraosseous Skull Cavernous Hemangiomas: Case Report Primary intraosseous cavernous hemangiomas (PICHs) is a rare hemangioma in the skull. The diagnosis and treatment need to be coordinated by related specialties, in which the gold standard for diagnosis is histopathology. The clinical case is a 72-year-old male patient with a parietal frontal hemangioma originating in the skull, which is an intracranial cavernous hemangioma.   Treatment was consisted of vascular intervention, total cranioplasty, covering with an artificial material and a skin flap. The patient underwent 3 surgeries to remove the tumor, the second time the pathological result was a cavernous hemangioma of the skull. Hemangiomas are benign soft tissue tumors, usually in the skin of newborns and children. Hemangiomas may appear in other tissue including muscle, tendon, connective tissue, fatty tissue, synovial fluid, or bone1 . Hemangiomas are histologically classified on the basis of vascular channels in...

 Determination of the Maximum Nonlethal Dose of Lidocaine and Epinephrine Based on Subcutaneous Injection in Rabbits Background: The objective of the present study was to determine the maximum nonlethal dose of epinephrine, lidocaine, and both substances diluted in saline subcutaneously injected in rabbits. Methods: The animals were divided into three groups. The first group received a maximum dose of subcutaneous epinephrine diluted in 30mL of saline with decreasing doses of epinephrine: 10.01mg/kg, 7.25mg/kg, 5.32mg/kg, 2.51mg/kg, 1.85mg/kg, 2.8mg/kg, and 1.21mg/kg. The second group received 30mL of saline with decreasing doses of lidocaine 250, 200, 150, 125, 100, 75, and 50mg/kg, respectively. The animals were observed from 48 hours to 7 days after receiving the injection. The third group also received 30mL of saline containing a fixed dose of 0.03mg of epinephrine and the same decreasing doses of lidocaine as the second group. After receiving the injection, the animals were ob...

 Phsycosocial Evaluation of The Risks of Telework on Covid-19 Times The objective of this research is to identify the main factors of psychological risk presented by officials who have worked under the modality of teleworking, during the first semester of the Covid-19 pandemic. The methodology developed for this research was created out from a positivist paradigm, a quantitative approach, an exploratory character and with a non-experimental method. The tool applied CoPsoQ -istas21 provides the levels of psychosocial risk in people who work under the teleworking modality, however, it does not determine the origin of the risks, since the scope of the investigation has a sole purpose of diagnosis. According to the results obtained, it can be considered that the main psychosocial risk factors as a consequence of teleworking are the dimensions of the pace of work, quantitative requirements, emotional, double presence, employment insecurities and working conditions. The job positions exp...

 Implications of the Theory of Mind in Learning: A Look from the Virtual Education Approach This research was born as an unknown related to the recent application of Virtual Education in educational centers, not only in Costa Rica, but worldwide. All of the above for reasons of public health prevention, given the presence of the SARS-CoV-2 virus. This is how it is then tried to investigate whether there are implications in relation to the theoretical proposal of the Theory of Mind (TM) and its relationship with Distance Education (virtuality), as part of a new training model (teaching and learning). Since at present the role of the psychopedagogue must conform to the reality of educational innovation as an ally to achieve the implementation of dynamic learning of the current student. In this research, which is of a bibliographic nature, matrices were used for the documentary analysis of the arguments used as part of its theoretical framework. The aim of this work is to carry out an...

 False Memories in Minors as Alleged Victims of Sexual Abuse When referring to the issue of child sexual abuse, we are facing a situation of vulnerability for minors, who immediately require an interdisciplinary intervention that guarantees their emotional, physical, and social stability. However, it turns out to be a challenge for professionals in psychology, to be able to discern between a real argument of the alleged victim and a false memory established by external factors in the minor. It should be clarified that this article never tries to question, revictimize or not consider as real the minimum manifestation of sexual abuse by any person. This article highlights the importance of professional expertise when assessing a minor who has revealed alleged abuse. Multiple studies and publications have been carried out that refer to the implantation of false memories or recollections in people. Therefore, a conceptual, methodological, technical, and ethical review of the discrimina...

 Academic Self -Concept (ASC) and Well-Being of Students in Hongkong: An Exploratory Study Goal: There is considerable significance of academic self-concepts in the educational context and in personal growth and while much research has been devoted to the factors affecting their development, and gender is posited as an important factor. The purpose of this study was to examine the academic self-concepts of Hongkong adolescent high school students. The objectives and research questions were to explore Maths and English Academic self-concepts and happiness, regarding 1. Is gender associated with student’s English and Math’s academic self-concept? 2. Do adolescent boys and girls have different Math and English ASC? 3. Is there any association between academic self-concept and well-being? Method: The study adopted a cross-sectional study design with convenient sampling using phone calls and emails. For data collection, the two scales used were – 1. The Academic Self-Description Questio...

 Cross Cultural Differences in the Manifestation of Transference Outside the Psychoanalytical Setting Transference is a phenomenon that, since its identification and description by Freud,1-6 has been the focus of study7-11 by those interested in the psychological principles of human interaction. Clara Thompson12 stated that “transference was not created by psychoanalysis. As long as human beings have had relationships with each other, there have probably been irrational elements in those relationships” (p. 273). According to her, these irrational elements have been quite evident in those relationships in which one person was in a position of authority. She pointed out that “when Freud first described the phenomena which he grouped under the name transference, he was merely clarifying something which has been used unwittingly by physicians in their treatment of the sick throughout the ages” (p. 273). She goes on stating that there is usually an element of dependency involved in thes...

 What I want my Neighbors to Know about my Mental Illness I live in an apartment complex in a busy part of my town. From my second-floor balcony, I can see my neighbors coming and going from their jobs, appointments, and other activities. I don't really know any of my neighbors on a personal level. I live a rather isolated life except for occasional visits from my family. So, my interactions with my neighbors consist of a polite "Hello, how are you?" or "Have a nice day," exchanges. I sometimes wonder how they would react towards me if they knew I have a diagnosed severe mental illness. Most people know that a mental illness involves one's thinking or behavior. However, people may not know that all mental illnesses can be treated with a combination of medication and/or therapy. I take antipsychotic medications and also an antidepressant. Together these medications help me control my schizophrenic symptoms. To look at me, one would think I was physically fit,...

 Taper Off Treatment Can Improve Executive Functions and Regulate Expression of BDNF and 5HTTPLR Genes in Opium Abusers after Six Months Period Opium is the dried latex obtained from the opium poppy. Opium addiction is the most prevalent addiction in Iranian society. During the last two decades "congress 60" a nongovernmental organization, has been performed a taper off treatment of opium associated with a package of psychological treatment group classes. While the effectiveness of taper off method in opium addiction has been confirmed, molecular mechanisms of this treatment in addicts are not clarified. BDNF gene is a brain-derived neurotrophic factor which is related to several molecular mechanisms of the brain including memory. 5-HTTPLR is a transporter of serotonin that is related to the decision-making process. In present study mRNA level of BDNF and 5-HTTPLR genes in peripheral blood of 20 non-psychiatric persons and 79 opium addicted individuals before and after six mo...

 Preliminary Findings of the Emotional Fitness Profile of Singaporean Adolescents and Adults The present study identified the conceptualization and construction of an emotional fitness profile in a modern Asian society, Singapore. This study consists of 311 participants who completed the self-report questionnaire. The emotional fitness profile comprised of five dimensions: Identifying emotions of self; Identifying emotions of Others; Ability to cope with emotions (self and social support); Emotional Regulation; and Neuroticism. Emotional Fitness refers to one’s ability to understand that emotions provide information to the situations around us. It consists of a) one’s ability to identify, express, and regulate their emotions; b) Seeking social support. Individuals who are high in emotional fitness are also better able to perceive challenges as manageable rather than feeling overwhelmed. They also have greater mental and emotional resources to help them bounce back from setbacks and...

 Abusive Psychological Techniques used during Covid-19 Following the outbreak of Covid -19 Pandemic in March 2020, this paper will describe the use of various psychological and emotional techniques which were used by most Governments in the Western world who consider themselves to be Democracies, to gain compliance with measures designed to limit the spread of Covid -19. Chief among these techniques were the use of “nudges”, processes and procedures similar to Domestic Abuse and techniques of Brainwashing (Lifton, 1989) as used by the Chinese authorities following the Communist takeover in the late 1940s and early 1950s. The 8 aspects of Lifton’s model will be described in detail and how these were used by Western Governments during the Covid-19 pandemic. The conclusions reached regarding the use of such techniques demonstrate the unethical and abusive nature of how many Western Governments treated their citizens during the pandemic. In or around March 2020 most Western Liberal Dem...

 Question of Values When we talk about values, we immediately think this refers to ethics, but we could start with its basic definitions. As for example the so-called universals are the principles; thus justice, honor, honesty, peace among many others are usually respected by the common people as universal principles, correct and appropriate for social coexistence, and not necessarily all those that respect a scale of values, They respect the principles, because in gangsters they have scales of values to coexist as groups but with the difference that they disrespect all principles. On the other hand, when I try to return the principle as mine or my property, then I am converting the principle into value, and I put it into practice and preservation in my daily life, then we could say that from constant and repetitive practice I begin to acquire good habits that I turn into virtues, like the practice of bad habits promoted by anti values or the opposite of the values established and ...

 Chinese Spirits Combined with Meat or Peanut as Antidote to 2019n-Cov Viruses and General Way to Keep Healthy by Oneself The 2019n-Cov caused serious health problem to human being, it is same severe as SARS but infectious as influenza viruses, it makes people must be quarantined from each other and impacted the world economy; however, people’s health couldn’t be castrated by the viruses, the problem must be solved to save people’s health as well as the world economy. In October 2020, President Trump also got infected by this novel coronavirus, but he got cured and recovered to health immediately by his therapy of a special antibody-cocktail, and that is just equivalent to alcohol (ethanol) with complete protein for immunity after eating. This provided a hint for solving the 2019n-Cov problem, it shows that alcohol with protein could probably cure the novel coronaviruses infection and perfect recover one’s health therefrom, as Trump did. By looking up literature in Chinese medicine...

 Decreasing Patient Falls by Including Medication Induced Factors in Fall Assessment Inpatient falls are the primary cause of injuries in health care facilities. The intended project goal was to reduce inpatient falls in the cardiac stepdown unit (CSU). Adding the Medication Fall Risk Score to the current fall risk assessment resulted in fewer falls. The CSU had the highest fall rate and the highest increase in patient falls. Patients in the CSU are often older. Medications used to treat this patient population are betablockers and antihypertensive meds. These medications are in the class of falls risk inducing drugs (FRIDs), which increases the possibility of falls in this population. The Cardiac Stepdown Unit (CSU) showed a 51% increase in falls while all other hospital units showed a decrease. Fall rates of the CSU are 4.12 per 1000 patient days which is above the hospital average of 1.89, and the national stepdown unit average of 3.44 (AHRQ, 2022). The CSU falls rate prompted d...

 Some Symptoms of Dysfunction and Quality of Life Among Menopausal Women: A Community-Based Study in A Rural Area of Thai Binh During menopause transitions, fluctuate hormone levels make menopausal women susceptible to mental and physical disorders that affect their quality of life. Research on menopause-related problems, especially among rural women, are also lacking. With that sense, research is aimed at investigating some signs of dysfunction and quality of life in menopausal women. A cross-sectional study was performed on 296 menopausal women aged 45-60 in 2 communes Tan Phong, Tan Hoa, Vu Thu district, Thai Binh province. Data was collected with 2 study tools: The Menopause Rating Scale (MRS) scale and the World health organization quality of life questionnaire (WHOQOL-BREF).  68.2% of women participating in the study has mild-moderate, severe-very severe symptoms 7.4% and 24.3% of women has no menopausal symptoms. The average score of the QOL is 66.0±8.4. The highest qua...

  Correlation of Erythrocyte Distribution Width Values with Preeclampsia and Preeclampsia with Severity Criteria Aim: To determine the correlation of the red cell distribution width values with pre-eclampsia and pre-eclampsia with severity criteria. Materials and methods: Cross-sectional, prospective study of patients who met the inclusion criteria in the period from August 2019 to August 2020. Statistical analysis was performed using Student's t test and Spearman's correlation to calculate the dependence between the non-parametric variables, the value of p<0.05 was considered statistically significant. Results: 9 patients with pre-eclampsia and 30 pre-eclampsia were obtained with severity criteria. There was no statistical difference when comparing the RDW of patients with pre-eclampsia and pre-eclampsia with severity criteria (p=0.226), in patients with systolic blood pressure values ≥160mmHg there was an increase in RDW levels (p=0.042) Objective: To determine the correla...

 m R.N.A. Purifications Process: Affinity Chromato-Graphy, Magnetic Beads and Graphene Coated Large Scale Production and Toxicological Aspects Aim of this work is to verify the state of the art related m R.N.A. purification process , the technology used as well as the materials employed. New methods vs classic methods: the use of affinity cromato-graphy or and high‐gradient magnetic separation (H.G.M.S.). In particular the use of magnetic beads since introduction of the graphene coated ones. Various producers provide many kind of magnetic beads with various grade of efficiency in separation. Becasue today there is a great debate around graphene derivates peresence (or not) in vials of m R.N.A. VACCINE it is relevant to better clarify the production process as well and the materials used. During last periods in order to fight Covid-19 pandemia was introduced with emergency autorization a new class of vaccine: The m R.N.A. vaccine. This innovative biopharmaceutical products was devel...

Relationship of Vascular Access Flow with Impaired Right Ventricular Function in Chronic Hemodialysis Patients Background: Cardiovascular events are the leading cause of morbidity and mortality in chronic hemodialysis patients. Impaired right ventricular function is often associated with poor survival in hemodialysis patients. Objective: To determine the effect of vascular access flow (AVFs) of right ventricular function. Methods: This cross-sectional study was done in Department of Nephrology, DMCH during the period January 2020 to July 2021. End stage renal disease patient underwent hemodialysis for ≥3 months were recruited in the study. Patients with chronic respiratory disease, severe valvar heart disease, AVFs flow<200ml/min were excluded. Right ventricular function was assessed by Tricuspid Annular Plane Systolic Excursion (TAPSE) through echocardiography and AVFs blood flow by color duplex study. History for diabetes mellitus, glomerulonephritis and hypertension were retrieve...

 Efficacy And Safety of Nifuratel-Nystatin in The Treatment of Mixed Vaginitis, in Pregnant Women From Quindío, 2013-2017. Randomized Clinical Trial Women with abnormal vaginal discharge usually suffer from bacterial vaginosis (BV), vulvovaginal candidiasis (VVC), trichomonas vaginitis (TV) or any combination of these. Objective: To compare the efficacy and safety of the combination nifuratel-nystatin with metronidazole -nystatin in the treatment of mixed vaginitis in pregnant women, and its adverse effects. Materials and methods: Randomized, double-blind, parallel-group clinical trial in 153 pregnant women, diagnosed with mixed vaginitis; in a complex private medical institution in Armenia (Colombia), between 2013 and 2017. The patients were randomized 1:1 to receive a daily intravginal egg for six days: nifuratel (500mg) - nystatin (200,000 IU) (Group "A") and metronidazole (500mg) - nystatin (100,000 IU) (Group "B"). A follow-up of the healing of symptoms was det...

 The Concept of Clinical Endometriosis: A Paradigm Shift in Africa The clinical symptoms of endometriosis, an illness characterized by ectopic endometrium (glands and stroma) outside the uterus, are mainly dysmenorrhea, dyspareunia, cyclic urinary symptoms and infertility. Although imaging modalities such as pelvic ultrasound can identify and localize endometriotic deposits in the ovary (endometrioma) and in bladder wall, diagnosis of the disease is impossible where such imaging modalities are unavailable or where clinicians are not trained to clinically diagnose endometriosis during consultation. Especially in sub-Saharan Africa, clinicians should be familiar with certain predisposing risk factors for endometriosis such as early age at menarche, shorter menstrual length and low body mass index. Delay in the diagnosis of endometriosis not only prolongs the duration of suffering, pain and discomfort but also lowers quality of life and increases cost of treatment. This article focuse...

Improving and addressing lymphocytes response against SARS-CoV-2 and its variants with intralveolar BCG administration   Bacillus Calmette Guerin administered by the aerosol route may locally elicit and increase T1 lymphocyte response in pulmonary alveoli, which are the main target of SARS-2-CoV-2 and its variants, thus preventing and anticipating the virus attack. This may lead to a decrease of the most severe forms of the disease considered as an acute autoimmune virus inducted disease. The lymphocyte response may start to work before and regardless of anti-CoVid vaccination. Since November 2019 a pandemic infection due to the SARSCoV-2 virus is still expanding in the world through human-to-human transmission. It affects the respiratory tract, mainly the lungs, but in its most serious forms can also impact other major organs such as kidney, intestine, heart and brain. This infection has the following characteristics: a) It is rapidly contagious via airborne droplets containing vi...