Stephy Publishers

  Journal of Psychological Science and Research  - (JPsSR) |  Stephy Publishers Primary Mental Health Care Part 2: Three European Primary Mental Health Care Examples as Basis for Change to the Irish System  Abstract The successes and limitations of primary mental health care systems in three countries outside of Ireland are examined in order to inform potential change for the Irish primary mental health care system. Systems currently at work within Scotland, England, and the Netherlands are outlined, all of which employ versions of the “stepped-care” approach to primary care. It is acknowledged that Ireland is attempting to modify primary care to include the stepped-care approach. However, there are significant limitations to the current Irish system. With the Scottish, English, and Dutch systems in mind, an alternative vision of primary mental health care for Ireland is suggested. Keywords: Mental health, Health care, Irish system Initiatives in primary mental h...

  Journal of Psychological Science and Research  - (JPsSR) |  Stephy Publishers Abstract Primary mental health care is an evolving system, in need of regular revision and requiring innovative and creative adjustments in order to provide the public with an easily accessible and appropriate level and type of service, based on best practice and evidence. This paper is the first in a series of three exploring primary mental health care. The Irish model of care, ‘Counselling in Primary Care’, is presented as well as a number of short-comings associated with that model. The short-comings include eligibility criteria governing access, limitations of service as well as waiting lists; and the medicalization of service delivery. Keywords: Mental health, Counselling, Primary care Introduction Acknowledging the need to update Irish mental health policy and service delivery in 2003, the Department of Health and Children (DoHC) commissioned a national policy framework to guide th...

  Journal of Psychological Science and Research  - (JPsSR) |  Stephy Publishers Abstract With the killing of George Floyd in 2020 and the subsequent focus on black existence, itis perhaps timely to revisit a previous historical period – the 1970s which saw theemergence of the civil rights movement and the transformation of black consciousness and identity.Both psychosocial and existential theories highlight the relationship between context and the development of identity. Drawing on the work of Erikson, Cross describes stages of identity development from negro to black which he originally related to the historical context of the black consciousness period of the 1970s but later, developed into a tool to measure black identity. This model depicts identity as developing in fixed stages with objective and measurable characteristics. The black existential approach focuses on the construction of identity within a context shaped by an individual’s experiences. Black existential...

  Modern Research in Plastic and Reconstructive Surgery - (MRPRS)| Stephy Publishers Abstract Introduction: We are living a paradigm shift in orthognathic surgery. Several tools and technological advances are being implemented to help improve surgical experience and to offer better functional and aesthetical results. Virtual surgical planning is a revolutionary tool which helps us design the surgical plan preoperatively and establish a surgical protocol specifically designed for that patient. In this study, our goal is to validate the predictability of virtual surgical planning in orthognathic surgery, comparing the final results with the virtual plan. Material and methods: We performed an ICP based super imposition of 3D models of the virtual planning preoperatively designed and the 3D model of the postoperative CBCT using free software (Slicer) in patients who underwent bimaxillary orthognathic surgery. The results of the super imposition were saved on the postoperative model an...

  Advancements in Teleradiology and Radiotherapy - (ATR)| Stephy Publishers Abstract Renal anomalies may be seen and detected in all age groups, as an insidentally finding. We report the FDG PET/CT and 68 Ga PSMA findings in cancer patients with renal anomalies and situs inversus totalis in three patients. Keywords Renal anomalies, PET/CT, FDG, 68Ga-PSMA Introduction Metabolic characterization and primary lesion. Following a 4 hour fasting, while the patient had a blood glucose level of 152 mg/dL, 303 MBq (8.2 mCi) 18F-FDG was given i.v. after 60 min, images were taken from the calvarium to the soles of the feet in 3D mode to be 1 min per bed. PET-CT imaging demonstrated a subcarinal 1 cm lymphadenopaty (SUVmax: 10.42) and paraosephageal metastatic lympadenopaty (12x22 mm/ SUVmax: 20.68) at mediastinal region. In addition, an 32x26 mm mass compatible with primary malignancy (SUVmax: 20.14) was detected anteromedial section of gallbladder. An approximately 8x9 cm hypermetabolic mas...

  SOJ Pharmaceutical Sciences - (SOJPS)| Stephy Publishers Abstract Piroxicam is a non-steroidal anti-inflammatory drug used in the treatment of osteo arthritis, rheumatoid arthritis, ankylosing spondylitis, classified in the Bio pharmaceutics Drug Classification system as a Class II drug because it has low solubility and high permeability. It demonstrates a slow and gradual absorption via the oral route and has a long half-life of elimination, rendering a prolonged therapeutic action and a delayed onset of anti-inflammatory and analgesic effect. Thus, an attempt is made to formulate piroxicam fast disintegrating tablet so that it helps to render faster onset of anti-inflammatory and analgesic effect. To increase the solubility of piroxicam solid dispersion method is opted in the present investigation. Study proposes the use of PVPk30 to prepare solid dispersion of piroxicam and comparison of its in-vitro dissolution with pure piroxicam. Fast Dissolving tablets can be prepared by c...

Stephy Publishers:      Stephy Publishers Open Access Journal of General Surgery Triple Umbilical Incision for Videlaparoscopic Cholecystectomy  The lap...

 Aesthetic Otoplasty, Reduction of Shell, Neo-antihelixplasty, Ear Shell Mastoid Reangulation Procedures| Stephy Publishers Modern Research in Plastic and Reconstructive Surgery - (MRPRS)| Stephy Publishers Abstract This study aims to demonstrate the technical approach for the correction of antihelix flattening (Kaye’s Method), for shell reduction by wedge resection and for skull reangulation.(Frank Welsh). Keywords:  Otoplasty, Resection of the shell, Neo antihelixplasty. Purpose The surgical correction of protruding ears is intended to correct the partial deletion or total agenesis of the anti helix, the widening of the shell when it’s present to an abnormal degree, and skull ear angle that is increased in between 45 and 60 degrees (less is desirable). Operative Approach First, we deliniate, in the mastoid ear notch a zone to be resected in the desired shape, from the upper pole to near the lobe (Figure 2). Resection of the shell can go from the antihelix to the...

 A Simplified Overview of the Current Non-Surgical Treatment of Brain Tumor Patients with Special Emphasis on Its Complications. A Much Needed Contemporary Review Especially for Neurosurgeons SOJ Neurology and Neuroscience - (SOJNN)| Stephy Publishers Abstract Brain tumors are complex entities with facts as numerous as stars in our sky, uncountable. They exist and thus every treating physician and surgeon happens to come across it. We try to put major contemporary practices and facts in a single bucket from learned skills of neurology and oncology tradition and things we received as feedback from our patients in clinical settings. Purpose of this work is to refresh your knowledge and preparedness for seeing patients with brain cancer. Brain tumors are molecularly heterogeneous and their features depend upon size, site, and genetic make-up of tumor, aggressive growth, and adjacent structures. Complications and their management are very challenging. This article will comfortably sai...

  Modern Research in Plastic and Reconstructive Surgery - (MRPRS)| Stephy Publishers Abstract A male to female Transgender. She has bitemporal receding from androgenic alopecia, which is not very desirable. She seeks some kind of camouflage, after female hormone, Minoxidil and Finasteride particular hairstyle, hairpieces, etc. Her last resource is Hair Transplant to cure her baldness. FUE from the occipital scalp (927FU) and pubic (405FU) area then transplant to the bald spot is the final solution. 1,332FU was done. Hairline construction follows the “Line Thai Micro Hairline principle.” Nine months later, she comes back with a very soft, smooth heart shape feminine hairline. Keywords: Hair transplant, Female transgender, Hair style, Hormone pills Case Presentation A male to female Transgender with bitemporal recession. She is looking for a Hair Transplant to the bald area. She takes hormone pills for almost 20 years. She is in very good health status. After History is taken an...

  Current Investigations in Clinical and Medical Research - (CICMR)| Stephy Publishers Abstract The breathing mechanism has existed since our birth and accompanies us throughout life. Breathing is an important function in the regulatory process of numerous body functions; its optimization can bring many health benefits. However, many children are unaware of the mechanisms of breathing, namely abdominal or diaphragmatic breathing, and in addition to this, many breathe normally through their mouths. The present study aimed to verify the influence of a short-term breathing exercise program on children's breathing capacity. Twenty-one children aged between 8 and 10 years were selected, from this selection two groups were formed, the control group (CG) with 10 children and the experimental group (EG) with 11. Through a spirometric test, an assessment of breathing capacity (ABC) was carried out for both groups. The GE participated in a program of breathing exercises (BEP) lasting 15 t...

  SOJ Cardiology and Current Trends in Surgery - (SOJCCTS)| Stephy Publishers Mini Review Diabetic foot ulcers (DFUs) remain difficult to heal and notoriouslytend to relapse, approximately 40% at 1 year and 65% at 5years. 1  In this context, progress is needed in 6 areas: Improved early diagnosis of neuropathy Early diagnosis of diabetic polyneuropathy (DPN) is importantfor several reasons.1,2 First, careful and regular medical follow-upshould be offered to avoid neuropathic DFUs. 1,2  Secondly, optimisedglycaemic control and correction of other vascular risk factors (e.g.hypertension, dyslipidaemia etc) should be diligently pursued. 1,2 Finally, daily foot hygiene and appropriate footwear are indispensable. 1  A number of practical bedside clinical tools contribute toimproved early diagnosis, such as the indicator test Neuropad assessingsweat production in the feet, Vibra Tip, the portable NC-statDPN Check device and others. 2  Neuropad has been extensiv...

  Surgery International Open Access Journal - (SIOAJ) | Stephy Publishers Abstract Introduction: The laparoscopic surgery is done by using a single port. You place a device through a single incision between 18mm to 50mm and 3-4 trocars can be used. Our work consists of making 3 little incisions to put the three trocars which measure 5 mm and use conventional instruments that measure 36 cm of length of laparoscopic surgery within the internal limits of the umbilicus. Objective: Describe the surgery technique and evaluate the initial results of a laparoscopic cholecystectomy option through three intraumbilical incisions. Methods: It is a retrospective, descriptive, multicentre and observational study. Since June 2014 to August 2019, 20 patients, 17 females and 3 males, were operated using this method from the age ranges of 16 to 65 years old. The average surgical time was 65 minutes. Results: In all cases the procedures were concluded by the intraumbilical approach. One of the c...

  Modern Research in Vision and Ophthalmology - (MRVO) | Stephy Publishers Abstract Purpose of Study: To evaluate tear film instability after cataract surgery by measuring tear break up time. Place of Study: This study was carried out in Teaching Hospital, University of Lahore, Lahore, Pakistan. Materials and Methods: A descriptive cross- sectional study was conducted in Teaching Hospital, UOL. Tear break up time was measured on patients post-operatively who under -went cataract surgery. A total of 60 patients were included in study after non –probability convenient sampling technique. Both male and female patients were included in study age 45-65 years. Data was collected through self-designed questionnaire based proforma. Further results were analyzed using SPSS version 20. Results: Tear break up time was found statistically reduced at 1 week, 2 week and after one month postoperatively(P =.0002, P<.0001). However, the tear film stability had reverted to approximately the p...

Stephy Publishers:  Stephy Publishers Journal of Pediatrics and Clinical Neonatology - (JPCN) Maternal and Neonatal Idiopathic Thrombocytopenic Purpura ...

  Trends in Petroleum Engineering - (TPE)| Stephy Publishers Abstract Hydraulic oscillator is one of the effective tools to solve the problem of high friction in directional drilling and horizontal drilling. However, there are some problems with this kind of tools such as high pressure loss and insufficient vibration force. Because of its self-excited oscillation characteristics, pulse oscillation amplifier can realize the amplification of pulse jet pressure under the condition of lowpressure loss, which is one of the effective ways to solve the above problems of hydraulic oscillator. In this paper, according to the working characteristics of hydraulic oscillator and the demand of pulse amplification, the structure of pulse oscillator amplifier was optimized based on numerical simulation method. Firstly, the geometric and numerical models of the pulse oscillator amplifier were constructed, and the flow field distribution and pulse amplification effect of the pulse oscillation amp...