Stephy Publishers

  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 negat...

  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...

  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 mucosa...

  Medical and Clinical case reports | Stephy publishers Abstract Chediak-Higashi syndrome corresponds to a series of genetic abnormalities in lysosomal transport, of autosomal recessive inheritance, characterized by partial oculocutaneous albinism and recurrent infections,1 usually between 7 and 10 years of age the accelerated phase of the disease, where developing hemophagocytic syndrome, given by a set of clinical findings, laboratory and histological studies where phagocytosis is prominent,2 with a failure in the regulation of the immune system due to an excessive production of pro-inflammatory cytokines that coexists with a dysfunction of natural killer cells and T lymphocytes, which leads to lethal development. We present a case of a 13-month-old patient, natural and from Pregonero, with a family history of consanguinity, recurrent respiratory infections, and a characteristic phenotype of Chediak-Higashi syndrome, without prior diagnosis or controls for this pathology, who p...

  Abstract Introduction: Endometriosis is an enigmatic and multifaceted ailment that distresses a large number of women worldwide which may trigger pain, infertility and other discomforts such as dysmenorrhea. Materials and Methods: Data from the medical records of 113 women with and 113 age-matched women without endometriosis were analyzed retrospectively to investigate association of three domains of menstrual characteristics – age at menarche, duration of menstrual flow and cycle length – with risk of developing endometriosis. STATA 13 statistical software was used for analysis of data. Results:  Sub-fertile women with menarche at <11 years were 1.80 times more likely to have endometriosis (OR=1.80, 95% CI: 0.51, 6.33) and had 1.29 times the risk of the disease (RR=1.29, 95% CI: 0.81, 2.06) influenced by body mass index (BMI in Kg/m2). Women with duration of flow of 4-7 days were 2.33 times more likely to have endometriosis. Women with cycle length of ≥28 days...

  Journal of Pediatrics and Clinical Neonatology  | Stephy Publishers Abstract Bacground:  Insidans for transposition of great arterieas(TGA) is %0.5-1 of all congential hearth diseases. There is reverse output of aorta and pulmonary arteries in hearth ventricules. Additionally there is ventriculer septal defect(VSD) in %25 of TGA patients. In some infants there can be either left ventriculer outflow tract stenosis. Arterial switch (Jaten) operation is current accepted procedure for TGA treatment. Case presentation:  The Patient with the symptom of severe syanosis from birth have been diagnosed as TGA, VSD and ASD with pediatric cardiology examination in an extarnal hospital. After a withut follow-up period; when 34 months age the patient applicated to our institute hospital by the complains of severe synosis and reduction of effort capacity. According to ecocardiography and angiograghy findings, Arterial switch operation(AS) planned and performed even late age of p...

  Journal of Cardiology and Current Trends in Surgery | Stephy publishers Abstract Cardiac tamponadeis a medical emergency which requires a fast diagnosis and treatment. We report the successful management of 51-year-old women who presented with cardiac tamponade due to ventricular rupture. Once this condition was suspected and confirmed by echocardiography, an emergent pericardiotomy was made. This case highlights the importance of a prompt diagnosis and how this could change the prognosis.   Glossary AMI: Acute Myocardial Infarction, EKG: Electrocardiogram, ICU, Intensive Care Unit, NIRS: Near-infrared Spectroscopy, SctO2: Cerebral Oxygen Saturation, TEE:Transoesophageal Echocardiogram, TTE: Transthoracic Echocardiography   Introduction Cardiac tamponade is caused by an abnormal increase in fluid accumulation in the pericardium, which impedes normal cardiac filling and reduces cardiac output.1 This entity can develop in patients with any condition that affects the peri...

  Innovative Journal of Neurology and Neuroscience | Stephy Publishers Abstract The older persons with dementia will occupy more hospital beds in the years to come. Caring for a patient living with dementia is challenging for the hospital staff, especially for those exhibiting neuropsychiatric symptoms. Providing person centred care has been recognised as the ideal model of care for the persons with dementia. However, this care model is time consuming and requires training and education. Provision of good care in the hospital for the older persons with dementia include avoidance of restraints, prescription of psychotropics, in-hospital fall reduction, minimising risk of cognitive and functional decline with discharge home to their families and loved ones.Person centred care is effective in the acute setting,with proper training, guidance and leadership.   Keywords Dementia, Falls, Restraints, Person-Centred Care, Neuropsychiatric Symptoms Introduction Dementia represent...

  Journal of Environmental Science and Research  |  Stephy publishers Abstract Brazil is a country of continental dimensions, with a surface area of 8,510,296km2 , which   is distributed among 26 federal states and a federal district. However, due to an extremely unequal income distribution, one of the major social problems that the country still faces is urban segregation, experienced by a large part of its almost 212 million inhabitants, who still find severe problems with housing, public transportation, security, health, employment, education and infrastructure, especially with regard tothe process of collecting and the treatment of waste generated. In the case of solid urban waste (SUW), approximately 190,000tons are produced daily, which implies a per capita production rate of 0.90kg(inhab.day)-1. Of the total generated, a fraction greater than 90% (w/w) is collected and, of this fraction, a percentage of 25% is still disposed of in open dumps, generating enviro...

  Innovative Journal of Neurology and Neuroscience - (IJNN)  | Stephy publishers Abstract: Cortical micro-infarcts are due to cerebral small vessel disease. In contrast to the arter i osclerotic type of cerebral small vessel disease, cortical micro-infarcts are mainly related and due to cerebral amyloid angiopathy. Alzheimer’s disease is the most frequent neurodegenerative dementia disease associated to cerebral amyloid angiopathy and cortical micro-infarcts. Vascular dementia cannot only be due to lacunar infarcts and ischemic white matter changes, but can also be caused by cortical micro-infarcts. The latter are a frequent cause of vascular dementia and decrease globally the cerebral blood flow. Keywords:  Cortical micro-infarcts, Cerebral amyloid angiopathy, Cerebral small vessel disease, Alzheimer’s disease, Frontotemporal lobar degeneration, Lewy body disease, Progressive supranuclear palsy, Vascular dementia. Abbreviations:   CSVD, Cerebral Small Vessel Disease...

  Journal of Dental Research and Oral Hygiene | Stephy Publishers Abstract: Cervicofacial necrotizing fasciitis is a rapidly evolving bacterial infection, which can b e  associated with multiple complications and poor health. However, there are few reported cases that are associated with Candida species, and the studies that report this indicate that it is found mainly in areas such as the pelvis, thorax and to a lesser degree in the arms and legs. The presence of Necrotizing Fasciitis in the cervicofacial region is very rare, which makes the present study relevant. Material and Method:  Descriptive, observational and retrospective study of Odontogenic Cervicofacial Necrotizing Fasciitis and the presence of Candida spp., Carried out during one year, in the Maxillofacial Surgery service of the Specialty Hospital, of the National Medical Center “La Raza” (IMSS). Patients older than 18 years, who were diagnosed with Necrotizing Cervicofacial Fasciitis of dental origin, were ...

  Journal of Cancer Research and Clinical Therapeutics | Stephy publishers Abstract Although melanoma accounts for less than a tenth of all skin cancers, it is responsible for three quarters of skin cancer deaths. It has a more aggressive nature, tendency to metastasise and is more resistant to anti-cancer therapies than non-melanoma skin cancer. The more common skin malignancies arise from the epidermal keratinocytes but the melanoma arises from the melanocyte, sitting on the dermo-epidermal junction. The difference is the neural crest origin of the melanocyte. Cells of neural crest origin are characterised by being heterogeneous, multipotent, mobile, having a high degree of plasticity and, in development and disease able to demonstrate epidermal to mesenchymal transition. The evolutionary deployment of the neural crest cells allowed early chordate species to transform from thin sessile filter feeders into the more mobile, active, and predatory vertebrates, demonstrating adaptatio...

  Journal of Psychological Science and Research  | Stephy Publishers Abstract Aim: Following the introduction of an access and waiting time standard for Early Intervention in Psychosis (EIP) services, the identification and treatment of people experiencing an At-Risk Mental State (ARMS) for psychosis has become a national priority. However, there is a dearth of literature concerning what is offered to and accepted by ARMS service users within routine services. Methods: This descriptive evaluation reports upon the assessment and treatment of people with an at-risk mental state identified during the first year of a routine service operating in line with the EIP standard. The paper details referral sources, referral to treatment times, socio-demographic characteristics, ARMS subgroups and the interventions accepted by these service users. Results: A total of 138 ARMS cases were identified over the evaluation period, with 73% (n=101) aged between 18-34 years and 86% (n=118) m...

  Journal of Environmental Science and Research | Stephy Publishers Abstract The work considered as hypothesis the conflicting relationship between the man and the nature, and it analyzed the disordered occupation of the Amazon basin with focus in the study area. The implications and transformations of the deforestation and use of the soil that cannot impact the supplying areas of goods and Environmental and ecosystem Services, the adverse effects that the climatic changes have been provoking in the water cycle in the Amazon, with mismanagement of use of natural resources, what raises the negative externalities. It was possible to notice that even after years of occupation and devastation of the Amazon forest, threats and pressures are recurrent, marked by the "drag effect", where investment in major projects, infrastructure, easy access to forested areas, and therefore, the biodiversity and the ecosystems of the region are disastrously destroyed. These human actions have cau...

  International Journal of Plastic and Reconstructive Surgery  | Stephy Publishers Abstract Due to the several layers of fasciae and their interchanging characteristics below and above the zygomatic arch, the temporal region anatomy has somewhat been unpleasant to comprehend and recall. The frontal branch of facial nerve is however the ultimate reason why it becomes important to study this area. Apart from Plastic, aesthetic and Reconstructive surgery, few other surgical specialties often need to work on this region, some of the common procedures include Coronal approaches; Zygoma fracture reduction; Temporoparietal flap elevation; Face and brow lift. We believe there is a need for clear and doubt free messages to be made in regard this topic. After an extensive literature search, we came up with a few conclusions and three key illustrations that we strongly believe are crucial to be remembered. The rationale of following certain path of dissection in the temporal region, dep...

  International Journal of Plastic and Reconstructive Surgery   | Stephy publishers Abstract The authors present in this paper the step-by-step procedures in hair transplant surgery by FUE’s method, pre-op considerations, after care treatment, medications, local scalp procedures and how to avoid errors to get the best results. Keywords: Hair Transplant Surgery, FUE’s Method, Step by Step 1 Operating Room Comfortable Atmosphere: Music-TV, Room temperature about 22o C. Medications: Sedative: Midazolam 7,0 mg, 30’ before surgery (optional). Numbing cream: Emla (lidocaine, prilocaine)-local. Maintain IV line Syringe: The smaller capacity reduces pain and local pressure. Needle: Use 30- or 32-gauge needles. Anesthesia: Lidocaine epinephrine 1/100.000 diluted in normal saline. To read more https://www.stephypublishers.com/plastic-and-reconstructive-surgery/pdf/IJPRS.MS.ID.000503.pdf #Openaccessjournals https://www.stephypublishers.com/

  Journal of Dental Research and Oral Hygiene - (JDROH)| Stephy Publishers Opinion Dear, I want to share with you my opinion and reflection on what I have experienced these approximately 11 months of pandemic on this side of the world (South America). I live in a regional capital city, Antofagasta, in northern Chile, where the first cases of SarsCov-2 began to be detected in midMarch 2020. At first, many sanitary measures taken globally were also implemented in Chile and South America, where dentists suffer quite harshly and abruptly from the arrival of COVID19. In our local case, I remember that a dentist was diagnosed with COVID19 when performing the PCR for presenting symptoms, and it turns out that the day before he had treated a number of patients no less. Faced with this situation, in the first instance a large number of colleagues spoke about the irresponsibility of the dentist, since he had come from a vacation period in Brazil and apparently he had not respected the manda...

  Annals of Nursing and Health Care Research - (ANHCR)| Stephy Publishers Abstract The Nursing Practice Environment (NPE) influences the quality of nursing care. Studies show far better outcomes for clients, with positive results on nursing teams’ satisfaction and patients with improvements in the outcomes of patients and healthcare organizations. The Practice Environment Scale-Nursing Work Index (PES-NWI) is an instrument that measures the nursing practice environment and is currently the most used at a global scale. The analyzed article proves the instruments reliability in the assessment of the NPE, despite needing further investigation at a psychometric level; and its applicability in different care settings – Other countries besides the US. However, it is emphasized the need to carry out further experimental and longitudinal studies to potentially identify the mechanisms that influence the NPE. Keywords: Nursing, Nurse Administrators, Quality of Care, Review, Work Enviro...