Stephy Publishers

  SOJ Diabetes and Endocrinology Care - (SOJDEC) | Stephy Publishers Abstract Globally more than 550 women die per year from childbirth-related causes. Around 9% of women suffer from postpartum post-traumatic stress disorder after childbirth. Postpartum bipolar disorder is humor episodes such as mania, hypomania or depression, which start throughout pregnancy or in few weeks after child bearing. Fifty percent (50%) worldwide estimation of motherly deaths arise in sub-Saharan Africa region alone. Depression is a devastating temperament and mental sickness touching around 13% of postpartum mothers worldwide. The occurrence of 25%-60% of depression is typical of low- and middle-income countries. A combined prevalence of 14.4% of teenage deliveries was revealed in Cameroon where there is unsatisfactory information on the risk factors of motherly mortality and mother care after childbirth. In hinterland local therapists especially in Bororo and Pygmies communities, have developed indige...

  Abstract Purpose: To evaluate the influence of nadir prostate-specific antigen (PSA) level and time to PSA nadir following androgen deprivation therapy (ADT)on disease progression of castration-resistant prostate cancer (CRPC) in patients with metastatic, hormone-sensitive prostate cancer (mHSPC). Patients and methods: A total of 90 patients with metastatic, hormone-sensitive prostate cancer treated with androgen deprivation therapy in our hospital were included in our retrospective study. Patients’ characteristics, PSA at PADT initiation (initial PSA), PSA nadir, TTN, follow up time, CRPC event were analyzed using Kaplan-Meier analysis and Cox regression model. Results: At a median follow-up of 12 months, 57 patients (63.3%) showed disease progression of CRPC Both PSA nadir and time to PSA nadir (TTN) was independent and significant predictors of CRPC event. Patients with higher PSA nadir (≥0.2ng/dL) and shorter time to PSA nadir (TTN <6 months) had significant shorter time t...

  Journal of Psychological Science and Research - (JPSSR)  |  Stephy Publishers Abstract  Neuroscience findings suggest brain immaturity and the proliferation of neurons in the frontal cortex at puberty may be significant factors affecting adolescent behaviors. The author considers these findings essential to bolster the analyst’s position to not act, in light of the impulses treating such cases can arouse. Clinical examples illustrate.  Keywords: Neuroscience of adolescence, Brain development, Separation, Clinicians, Adolescent therapy Introduction Adolescence is a developmental period of turbulence. As teenagers are unconsciously attempting to separate from their families they frequently engage in oppositional and even bizarre behaviors. Neither the child, nor, the families understand the behaviors, and, both become regressed within a matrix of discord. Often, the situation deteriorates until the family seeks professional help. Throughout my years of clini...

  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...

  SOJ Pediatrics and Clinical Neonatology - (SOJPCN)| Stephy Publishers Abstract Recent literature data has shown that acute kidney injury (AKI) is a common occurrence in critically ill children and that it is associated with high rates of morbidity and mortality, even after adjusting for other risk factors. In addition, it can result in long-term sequelae translated by the development of arterial hypertension, microalbuminuria and chronic renal dysfunction. High degree of suspicion, early diagnosis based on the recognition of patients at risk and the use of new criteria for the diagnosis and classification of AKI and, whenever possible, using the new biomarkers can positively alter the prognosis of these patients. Although there is still no specific treatment for AKI, it is recommended to focus on the immediate institution of preventive measures in order to maintain renal hemodynamics, early treatment of septic patients, elimination of exogenous nephrotoxins, recognition and man...

  SOJ Medical and Clinical Case Reports  - (SOJMCCR) |  Stephy Publishers Abstract Background:  Spontaneous intracranial hypotension (SIH) is a relatively rare but known pathology that results in brain herniation or sagging due to CSF hypovolemia. SIH can commonly be misdiagnosed when occurring with other pathologies including chronic subdural hematoma (CSDH). Neurological decline caused by SIH is rare, but is often rapid and much more severe. Case description:  A 69-year-old man was delivered to the emergency department for loss of consciousness and mild left hemiparesis. Brain computed tomography (CT) revealed increased density over basal cisterns suggestive of subarachnoid hemorrhage (SAH), and CSDH. Cerebral angiography showed dural arteriovenous fistula, but there was no apparent cerebral aneurysm. We first performed trans-arterial embolization using n-butyl cyanoacrylate, followed by bilateral hematoma evacuation. A postoperative CT showed that CSDH wa...

  SOJ Dental and Oral Disorder  - (SOJDOD) |  Stephy Publishers ISSN 2768-6221 Abstract Objective:  The effect of music listening on blood pressure (BP), heart rate (HR) and anxiety level (AL) was investigated for thirty patients undergoing periodontal surgery. Methods:  A total of sixty patients referred for periodontal surgery were randomized into two equal groups as i) without music (control), and ii) with music (test). Before and after the procedure, BP and HR were recorded. All patients responded to AL assessment using facial image scale (FIS) before and after surgery. After listening to music before and during the procedure BP, HR and AL were assessed for the test group. Results:  Systolic BP (SBP) in both groups increased but showed no statistically significant difference between the two groups (p>0.05). Diastolic BP (DBP) increased after treatment with no statistically significant difference (p>0.05) between test (4.70mmHg) and cont...

                 SOJ Dental and Oral Disorder  - (SOJDOD) |  Stephy Publishers ISSN 2768-6221 Abstract A brief overview of the superficial oral lesion Objectives: Oral mucosal lesions are a broad group of lesions which are located in the soft tissues of the oral cavity identified by its specific etiology, clinical manifestations, differential diagnosis and treatment. White lesions of the oral cavity constitute a rather common group of lesions that are encountered during routine clinical dental practice. The process of clinical diagnosis and treatment planning is of great concern to the patient as it determines the prognosis. There should be in-depth knowledge to the consultant about the varied clinical features, etiology of the disease and various treatment plans. Clinical diagnostic skills and ideal judgment forms the key to successful management of white lesions of the oral cavity This review will discu...

             SOJ Dental and Oral Disorder  - (SOJDOD) |  Stephy Publishers ISSN 2768-6221 Introduction Dentin Hypersensitivity (DH) is a major complaint of the general population. Reports have indicated the incidence of DH is 4 to 74 percent of the population. 1  It poses a challenge for clinicians because its presentation is ambiguous with no specific signs. 2  Dentists rely on the patient’s clinical and dietary history and a thorough intraoral examination using thermal and tactile stimuli. Dentin receptors have a unique feature of eliciting pain as a response to any environmental stimulus. The sensory response in the pulp cannot differentiate between heat, touch, pressure or chemicals, because they lack specificity. Irrespective of the type of stimulus, the patient perceives any stimulus as a pain. 3  Hence careful examination should be performed to rule out other condition s which present in a similar manner to DH. Th...

                                     SOJ Dental and Oral Disorder  - (SOJDOD) |  Stephy Publishers ISSN 2768-6221 Abstract The impact of cigarette smoke on bone grafts in implantodontics has been discussed in the scientific literature. The present study aimed to evaluate bone repair in calvaria of rats after the performance of critical bone defects and graft of bone ceramic biomaterial in animals exposed or not to cigarette smoke. Bone defects of 5mm in diameter were made in parietal bone. Each defect was filled with Bone Ceramic biomaterial. Twenty rats were used and divided into 2groups: test, consisting of 10rats exposed to cigarette smoke; and a control group, consisting of 10rats not exposed to cigarette smoke. The animals were euthanized in the 4 th  postoperative week and bone tissue samples were extracted to perform the histometric analysis. The tes...