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Acute Kidney Injury in Children| Stephy Publishers

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  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...

Effect of Music Intervention on Anxiety in Patients Undergoing Periodontal Surgery: A Pilot Study| Stephy Publishers

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  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...

Surgical Management of Super Numerary Tooth and an Impacted Maxillary Permanent Central Incisor: A Case Report| Stephy Publishers

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  SOJ Dental and Oral Disorder  - (SOJDOD) |  Stephy Publishers ISSN 2768-6221 Abstract Impaction of Maxillary Permanent incisor due to super numrary tooth is not a common entity encountered in dental practice but when present, it poses a disturbing esthetic dilemma to children and their parents. Early diagnosis and interception in these cases is the best way for their management. The purpose of this report is to describe the diagnosis and the clinical management of an impacted supernumerary tooth, which impeded the eruption of the permanent maxillary central incisor. Keywords Dentistry, Tooth, Treatment Introduction Super numerary tooth, or hyper dontiais defined as a development a anomaly of number characterized by the presence of an extra tooth in addition when compared to the normal formula. 1,2  The termmesiodens refers to a super numerary tooth located in the anterior region between the maxillary central incisors. It presents clinically the most ...

Major Abdominal Surgery, Neurosurgery, Orthopedic Surgery in Children aged between 10 and 18 Years and Postoperative Outcome| Stephy Publishers

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  Stephy Publishers:    SOJ Pediatrics and Clinical Neonatology (SOJPCN) Abstract Background: In a previously conducted monocentric retrospective study, predictors of postoperative outcome in children included American Society of Anesthesiologists score, transfusion, emergency interventions, surgery and age. A study has been undertaken to describe postoperative outcome in patients aged between 10 and 18 years included in the initial study in abdominal surgery, neurosurgery and orthopedics. Aims: To describe postoperative outcome in children aged between 10 and 18 years. Methods: Secondary analysis of postoperative outcome in children aged between 10 and 18 years included retrospectively in the initial study of 594 patients. The study was approved by the Ethics Committee. Results: There were 221 children with a mean age of 165.5±24.3 months in abdominal surgery, neurosurgery and orthopedics. 16.3% patients had intra-operative or postoperative complications. Intra-operativ...

Surgical Reduction of Symphysis Fracture and Spontaneous Repositioning of the Mandibular Condyle: A Case Report| Stephy Publishers

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  SOJ Dental and Oral Disorder  - (SOJDOD) |  Stephy Publishers ISSN 2768-6221 Abstract The condylar process is a more fragile area, which is usually fractured by indirect trauma. The objective of this study is to report the case of a 10-year-old patient who presented to the Maxillofacial Surgery and Traumatology Service of the Regional Hospital of Vale do Paraíba, in Taubaté-SP, Brazil. Physical examination revealed limited mandibular movement with painful symptoms, crossbite, and upper incisor avulsion. A face tomography showed a fracture of the mandibular symphysis (right side) and a fracture of the left condyle. Surgical reduction of the mandibular symphysis fracture was performed. After exposure and reduction of bone segments, maxillomandibular block, rigid internal fixation and conservative treatment for condyle fracture were performed. A soft liquid diet and weekly outpatient follow-up was adopted for the first two months. After 15 days of surgery, the patient...

Primary Mental Health Care Part 2: Three European Primary Mental Health Care | Stephy Publishers

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  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...

Primary Mental Health Care Part 1: A Critical Review of the Irish System| Stephy Publishers

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  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...

The Impact of the 1970s on Black Identity Development: An Analysis of Psychosocial and Black Existential Perspectives| Stephy Publishers

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  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...

Contextualized Problem Solving in Primary School Students| Stephy Publishers

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  Journal of Psychological Science and Research  - (JPsSR) |  Stephy Publishers Abstract The objective of the present study was to explore and describe the influence of a proposal that returns to Problem Based Learning for the application arithmetic principles in the solution of problems in sixth grade students of primary education. Eighty-six of sixth grade students participated with an average age of 11.0 years. The intervention strategy was carried out in nine sessions lasting approximately one hour each. The results in general, do not show statistically significant differences in the performance of the execution in the resolution of problems between pre-test and post-test conditions, however, it was observed through the students' report that they had experienced knowledge acquisition based on the content of the intervention. Keywords: Problem solving, Problem based learning, Arithmetic, Primary school Introduction Mathematical knowledge is a skill that is present from...

Formulation, Development and Evaluation of Fast Disintegrating Piroxicam Tablets| Stephy Publishers

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  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...

Aesthetic Otoplasty, Reduction of Shell, Neo-antihelixplasty, Ear Shell Mastoid Reangulation Procedures| Stephy Publishers

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 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...

Stephy Publishers: Maternal and Neonatal Idiopathic Thrombocytopenic Purpura

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

Resolution of Severe Anorexia Nervosa Associated with Gender Dysphoria (Dysphorexia) by Testosterone Therapy| Stephy Publishers

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  SOJ Diabetes and Endocrinology Care - (SOJDEC) | Stephy Publishers Abstract Anorexia nervosa is a severe and potentially lethal eating disorder. In transgender youth with severe gender dysphoria, a severe eating disorder (proposed name: dysphorexia), coherent with anorexia nervosa may be triggered by the desire to avoid the cisgender pubertal transition. In these patients, gender-affirming hormone therapy can be extremely effective. We report hereby the cases of two female-to-male transsexual patients with severe gender dysphoria whose anorexia nervosa was related to their pubertal development and who promptly recovered when they started gender-affirming hormone therapy with testosterone, after very limited success with standard psychotherapy and pharmacotherapy for anorexia nervosa. Our patients could not access pubertal suppression due to lack of parental consent in one case and failure to express the conflict in the other. We postulate that avoiding the cisgender pubertal t...