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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 ...

  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 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...

  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)...

  Current Investigations in Clinical and Medical Research - (CICMR)| Stephy Publishers Abstract Objective: To study the importance of immunological screening (CH50, C3, C4) to determine the correlation between the ovarian reserve and complement pathway.   Design: A cross-sectional multivariate study.   Setting: Single tertiary referral center. Patients: 40 Women with infertility diagnosis who underwent In Vitro Fertilization (IVF). Intervention(s): Basal blood samples collected to measure complement pathway and antimüllerian hormone. Main Outcome Measure(s): To correlate complement pathways (CH50 levels) with AMH. Results: The complement system and ovarian reserve were studied in 40 women aged from 28-48 years (mean=37.87 years), finding the values of CH50 65-268 CAE (mean=153.2 CAE), C3 13.9- 183mg/dl (mean=128.52mg/dl), C4 11.5-106mg/dl (mean=29.86mg/dl), AMH 0.10-3.9ng/dl (mean=1.32ng/dl). A multivariate analysis comparison was also conducted yielding significan...

  Global Scientific Research in Environmental Science  - (GSRES) |  Stephy Publishers ISSN 2768 6124 Abstract This study was conducted to examine the role of transport system in rural development in Ehime Mbano L.G.A of Imo State. It has been observed that untarred/seasonal roads and foot track dominates in the study area. Lack of good roads in the study area has great negative impacts on the socio-economic activities of the rural communities. The observations of the area show that transport system has been faced with numerous problems due to poor road maintenance and bad road, lack of fund to construct good roads and poor road network. A total of 500 questionnaires were administered to the respondents in the selected areas of Ehime Mbano L.G. A of Imo State. The hypothesis formulated was tested using Chi-Square techniques. The result implies that the provision of transport services in rural areas is to a large extent satisfactory. Also, the result of the findings indicat...

  Global Scientific Research in Environmental Science  - (GSRES) |  Stephy Publishers ISSN 2768 6124 Abstract Climate change is unequivocal and nothing hides itself from its negative repercussions. Countries in sub-Saharan Africa will continue to be impacted due to their low adaptive capacities and geographic position. Unfavourable weather trends coupled with climatic variations will have adverse effect on agricultural sector which is the main source of livelihood to rural households on the continent. This literature review article assessed the impacts of climate change on agriculture and food security in Africa. The lives of several in Africa cling on agriculture as it supports majority of the population. However, since over 90 percent of agriculture system in the region depends on rainfall, livelihoods of the citizens on the continent have been hit hard due to rising temperature, erratic rainfall and extreme weather conditions. Keywords: Adaptive capacity, Diversificati...

  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 hyperme...

  Modern Research in Plastic and Reconstructive Surgery - (MRPRS)| Stephy Publishers Postoperative dropping of the nasal tip after rhinoplasty is a known complication.1 Defining the position of the nasal tip begins with stabilizing the nasal base.2 To define the position of the nasal tip and stabilize the nasal base of the nose, the surgeon has three main options: tongue-in-groove maneuver,3 caudal septal extension graft, or columellar strut.4,5   Significant loss of rotation is expected during the first year and surgeons need to over-correct tip rotation to compensate for this loss. In a recent study, Antunes and Quatela6 identified patients who were submitted to a rhinoplasty with a tong-in-groove maneuver over a period of 1 year, and demonstrated an average reduction in the nasolabial angle of 6.8%, estimating that for each degree of rotation changed at surgery, the patient will have a loss of 0.35 degrees over the first year.   Despite the routine use of techn...