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Chediak-Higashi Syndrome in Accelerated Phase, a Case Report | Stephy publishers

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  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...

Age at Menarche, Duration of Monthly Flow and Cycle Length as Risk Factors for Endometriosis | Stephy Publishers

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  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...

Lately Performed Arterial Switch Operation in a Three Years Old Child Diagnosed of Transposition of Great Arteries | Stephy publishers

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  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...

Impact of Patient Centred Care in a Dementia Ward in an Acute Hospital | Stephy publishers

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  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...

Urban Social Waste and Urban Solid Waste in Brazil: Problems, Consequences and Possible Solutions | Stephy Publishers

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  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...

Significance of Cortical Micro-Infarcts in the Human Brain | Stephy Publishers

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  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...

Cervicofacial Necrotizing Fasciitis and Candida spp | Stephy pulishers

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  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 ...

Invasive Melanoma: The Treatment-Resistant Skin Cancer with the Deadly Reputation | Stephy publishers

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  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...

Access and Waiting Time Standard for Early Intervention in Psychosis: At Risk Mental State Identification and Interventions Accepted within a Routine Service| Stephy Publishers

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  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...

Facial Nerve and the Temporal Region: A Clarification| Stephy Publishers

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  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...

Step-By-Step Hair Transplantation Surgery: FUE’s Method+ | Stephy Publishers

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  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/

Dentists in Covid19 Mode| Stephy Publishers

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  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...

Nursing Practice Environment and the Nurse Manager Intervention: Critical Review| Stephy Publishers

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  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...

Reverse Flow Sural Flap Coverage in Sequel of Electric Burn, Case Report| Stephy publishers

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  Journal of Orthopaedics Surgeries and Physiotherapy - (JOSP)| Stephy Publishers Abstract: Reconstruction of injuries and defects in the distal third of the lower extremities represents a challenge for the plastic surgeon. The clinical case of a 46-year-old patient with a sequela of electrical burn in the distal third of the leg and the proximal third of the right foot is presented, who underwent skin coverage with a reverse flow sural flap. The treatment performed is described, as well as the surgical technique . We consider that the reverse flow sural flap is an optimal option when evaluating different forms of coverage in lesions of the distal third of the lower extremities, with positive long-term results. Keywords: Electrical burn, Reconstructive surgery, Sural flap 1 Introduction The repair of injuries and defects of the lower limb located in its distal third constitutes a challenge for reconstructive plastic surgery. The research reflected in different bibliographic source...

A Review on Phthalic Anhydride Industry and Uses | Stephy Publishers

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  Annals of Petroleum and Petrochemical Engineering - (APPE)| Stephy Publishers Abstract: Phthalic anhydride is the chemical that results from the oxidation of orthoxylene or naphthalene. In the USA, about 9 percent of phthalic anhydride came from naphthalene in2003. The remainder came from ortho-xylene. Keywords: Phthalic anhydride, Vacuum distillation system, OX Introduction: Phthalic anhydride is an organic compound that has a chemical the formula C 6 H 4 (CO) 2 O. It is the anhydride of phthalic acid. Phthalic anhydride uses enter in many applications such as construction, marine, transportation applications, automotive applications, furniture, fixtures, market declining and it enters in the manufacturing of the following compounds To read more https://www.stephypublishers.com/petroleum-and-petrochemical-engineering/pdf/APPE.MS.ID.000505.pdf More #Openaccessjournals https://www.stephypublishers.com/ For more article # Petroleum # PetrochemicalEngineering https://www.stephy...

Global Journal of Archaeological Method and Anthropology - (GJAMA)| Stephy Publishers

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  Global Journal of Archaeological Method and Anthropology - (GJAMA)| Stephy Publishers The main objective of this journal is to provide in-depth thoughtful development of data and concepts that are accessible to all archaeologists, Archaeology can be considered as both social science and branch of humanities which range from understanding culture history to reconstruct past range Archaeology relies on cross-disciplinary research which draws upon history, art history, palaeography, anthropology. This journal welcomes all researchers along with the proofs of Human Part Life's. Global Journal of Archaeological Method and Anthropology strives with an aspiration to publish reliable source of information by delightfully welcoming your valuable original articles at #Submission https://www.stephypublishers.com/submit-manuscript.php #Openaccessjournals https://www.stephypublishers.com #Archaeological #Anthropology https://www.stephypublishers.com/archaeology-anthropology/

International Journal of Teleradiology and Radiotherapy - (IJTR) | Stephy Publishers

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  Stephy Publishers    International Journal of Teleradiology andRadiotherapy is an Open Access peer reviewed online journal that publishes articles related to treatment cancer cells with the help of telecommunication systems. Now-a-days Tele Radiology is broadly implemented by hospitals, urgent care clinics and specialist imaging companies and effective input for diagnosis and symptom control and is also more economical. IJTRR welcomes you to publish your Original Research, Review, Mini Review, Opinion, Case Report, Short Communication and Perspectives. We are pleasingly welcoming you to submit your valuable works at #Submission https://www.stephypublishers.com/submit-manuscript.php # Teleradiology  #Radiotherapy https://www.stephypublishers.com/teleradiology-and-radiotherapy/ #Openaccessjournals  https://www.stephypublishers.com/

International Journal of Plastic and Reconstructive Surgery - (IJPRS)| Stephy publishers

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  International Journal of Plastic and Reconstructive Surgery - (IJPRS) | Stephy Publishers International Journal of Plastic and Reconstructive surgery is an online-only, broad based, peer reviewed open access journal with a global focus on scientific research in Plastic and Reconstructive surgery. The main objective of the journal is to provide information about significant developments in all areas related to plastic and reconstructive surgery. Journal welcomes original clinical or laboratory research, operative procedures, comprehensive reviews, cosmetic surgery, ideas and innovations, letters, case reports, perspectives, etc. All readers enjoy full access to innovative papers published in IPRS . #Submissions https://www.stephypublishers.com/submit-manuscript.php # PlasticSurgery #ReconstructiveSurgery https://www.stephypublishers.com/plastic-and-reconstructive-surgery/ # Openaccessjournals #Stephypublishers https://www.stephypublishers.com/

Annals of Nursing and Health Care Research - (ANHCR)| Stephy Publishers

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  Annals of Nursing and Health Care Research - (ANHCR) | Stephy Publishers The Annals of Nursing and Health Care Research is an open access, peer reviewed journal which brings the latest research in all the aspects of nursing and health care research. ANHCR publishes innovative research and advancements on all aspects of nursing, health management and healthcare, providing a forum for communication in research and academic endeavor between different fields, in order to facilitate interdisciplinary collaboration and enhance the quality of patient care in the form of high quality manuscripts. The Journal provides a platform for diverse type of articles such as Research, Reviews, Case Reports, Mini Reviews, Short Communications, Perspectives and Editorials. #Submission https://www.stephypublishers.com/submit-manuscript.php # Nursing #HealthCare Research https://www.stephypublishers.com/nursing-and-health-care-research/ #Openaccessjournals https://www.stephypublishers.com/

Accuracy Assessment of Free PSA Density for Prostate Cancer Detection in Male Patients with High PSA| Stephy publishers

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  Open Access Journal of Urology and Nephrology  |  Stephy Publis her Abstract: Background: Prostate cancer detection is currently based on serum PSA with a digital rectal examination which is neither specific nor sensitive, which caused many unnecessary prostate gland biopsies that are highly expensive and can result in unwanted complications. Serum free PSA increases with a larger prostate gland,yet declines with a gland that contains cancer cells, thus prompting the hypothesis that calculating the ratio of serum free PSA against prostate gland volume provides the so-called “free PSA density” which can be utilized to improve prostate cancer detection. Methods: Male participants were deemed eligible if they are at risk of prostate cancer with a PSA level of 4-10 ng/dL and aged between 50-75 years. Serum PSA and serum free PSA were obtained concurrently, followed by transrectal ultrasonography for prostate volume calculation and biopsy of the gland. Also reported are the ...