Volume 5

Volume 5

Analysis of Nutritional Status in Premature Infants with Various Types of Feeding Those

Clinical Paper

1. Abstract
1.1. Purpose of the Study: Study the indicators of nutritional status (hemoglobin, total protein, albumin, creatinine, urea, glucose in blood plasma) at birth, in dynamics on the 10th, 20th, 30th day of life in premature newborns with very low and low birth weight at birth. Various types of feeding (breast milk, breast milk in combination with a fortifier and artificial feeding) to assess the ongoing measures for successful feeding and the quality of nursing.
1.2. Materials and Methods: A survey of 118 children aged from birth to 1 month of life, who were divided into groups depending on the type of feeding.

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Duelling Variants: Omicron BA.1 And B.A.2- A Fight to The Finish?

Research Article

1. Abstract
Since the emergence of SARS Coronavirus 2 (SARS-CoV-2, in 2019, it has caused over 300 million cases and 5.5 million deaths [1]. SARS-CoV-2is an enveloped, positive-sense, single-stranded RNA virus having approximately 30,000 nucleotides. The initial virus spread globally was characterized by a D614G change in the spike (S) protein [2] Within a year, multiple variants emerged with several mutations in the spike protein across various countries- the United Kingdom(Alpha), South Africa(Beta), and Brazil(Gamma). In April 2021, the Delta variant emerged initially in India and rapidly replaced Alpha globally over the next few months [3].

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Traumatic Dislocation and Retro-Displacement of C1 Over C2

Case Report

1. Abstract
1.1. Background: Remarkably there is a unique joint in the cervical spine within the C1-C2 level which is considerably responsible for neck rotation somewhat greater than 50 %. What impresses us about joints is that they have been designated ergonomically which allows maximum motion without getting dislocated. It mainly provides six degrees of freedom, the maximum being axial rotation as if nature’s engineering has been filling us with wonder by that [1]. As a result of instability, excessive motion, and spinal cord compression, dislocation may occur at the atlantoaxial joint.
Generally, fracture of the odontoid process, laceration in the transverse ligaments or a congenital anomaly can contribute in posterior atlantoaxial dislocation. Merely high-velocity trauma can cause such a severe and uncommon injury [2]. In fact, confrontation of posterior dislocation without any associated fracture of odontoid is extremely rare and so far to the best of our knowledge, only in a few cases reported specifically in this case we’re facing a combination state of posterior atlantoaxial joint dislocation and whirling of the anterior arch of C1 behind the C2 which is extremely uncommon.

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An Atypical Rash: Factitious Dermatitis

Case Report

1. Abstract
1.1. Introduction: Factitious Dermatitis (FD) is defined as the lesions that the patient creates on their own to fulfill a psychological need that they are usually unaware off.
1.2. Case: An 11-year-old male patient was presented with rashes which starts with a burning sensation and heals by scabbing and located on his legs, anterior trunk and neck, appeared within the last 3 months. Abrasion and excoriation marks with irregular edges, each 0.3-0.5 cm in diameter, were detected. It was learned that new rashes appeared especially nights before school days, and that he had problems with his teacher and friends at school. He diagnosed with FD and his treatment arranged by the child psychiatry department. On his follow-up one month after initiation of the treatment, it was observed that he had no new lesions.
1.3. Discussion: The prevalence of FD is seen more frequently in females and highest in adolescence and early adulthood. Lesions are mostly localized on the face and arms. In most cases, psychosocial stressors can often be identified as triggers for this disease. Treatment can be difficult and management of the disease should be a multidisciplinary team approach of pediatricians, dermatologists and mental health professionals. Pediatricians should be aware of FD, given that pediatric patients with a rash often refer primarily to their pediatrician.

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Comparative Evaluation Between Dexmedetomidine and Midazolam as Intravenous Conscious Sedative Agents Used in Minor Oral Surgical Procedures

Research Article

1. Abstract
1.1. Background and objective: Oral and maxillofacial surgery encompasses a wide spectrum of conditions affecting the oral cavity and associated structures. A lot of our work is done in the minor operative set-ups and mostly under local anesthesia. Dealing with conscious patients undergoing surgical procedures on a daily basis is an acquired skill of an astute clinician. The management of fearful and anxious patients has always been a challenge.
Many methods have been in practice to alleviate pain and relieve anxiety during surgery. Clinicians can induce a state of altered consciousness in patients so that they are more relaxed and compliant to undergo surgery. This can be achieved by behavioral modifications and non-pharmacological and pharmacological methods.

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A Case with Gianotti-Crosti Syndrome with a History of Atopic Dermatitis

Case Report

1. Abstract
Gianotti-Crosti syndrome (GCS) is characterized by an acute onset papular or papulovesicular rash with a symmetrical distribution. The eruption is predominantly located on the extensor surfaces of the extremities, glutea, and face. GCS is most common in children aged 1 to 6 years. Herein we present an eight-month-old male patient diagnosed with GCS with a history of atopic dermatitis. Symmetrical, multiple, monomorphic, fat-covered, erythematous pruritic lesions were detected on the face, trunk, arms and legs. The presence of atopic dermatitis was significantly higher in those with GCS, suggesting that a more common family history for atopy was significantly associated with GCS. GCS is a syndrome whose diagnosis requires a high level of clinical suspicion. It is confused with other exanthematous diseases of childhood.

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Relational Structure of the Healthy Longevity with A Family Physician and A Family Dentist in The Elderly Dwellers

Research Article

1. Abstract
1.1. Background
With the increase in lifestyle-related diseases, countermeasures are becoming very important. It has been shown that having a family doctor or a family dentist is of great significance for the prevention of illness. However, along with the actual situation, the relationship with health and longevity according to the presence or absence of a family physician or a family dentist has not been clarified.
1.2. Objective
The purpose of the research is to clarify the actual situation of having a internal physician and or family dentist for the elderly living in the suburbs. Furthermore, the socio-economic factors behind this are to clarify the relationship between three health factors, including subjective health, and illness prevalence and daily living ability. In the final the purpose of this research is to make clear the causal structure between the subjective health after 3 years and the healthy longevity, which is a dependent variable that is defined as the survival days for the next 3 years as an observation variable by the existence of the internal physician and the family dentist by gender.

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Giant Frontal Meningioma – Applying Radiant to Reconstruct 3D Images for Preoperative Prognosis and Surgical Planning

Case Report

1. Abstract
Meningiomas are the most common primary Central Nervous System (CNS) tumors and giant frontal intracranial WHO grade I meningioma is a fairly common practice in the neurosurgical center in developing countries. However, giant meningiomas raise challenges for surgeons, due to the size of the tumor, prominent vascularity, entangling, limited visualization, and cerebral edema. Objective. RadiAnt to reconstruct 3D images of the tumor to support preoperative planning and prognosis brings enormous value. It does not only help prevent an accidental blow to precious structures, but it is also very simple and practical. A case report. a 74-year-old woman showed up in the clinic complaining of an increasing headache and confusion. Her headache had presented for quite a long time, but it tended to increase in intensity over the last 6 months and did not respond to pain relievers. We used RadiAnt to reconstruct 3D images of the tumor to better figure out the size, shape, and relation of neighbors, as well as its relative position on the skin. The patient then underwent resection microsurgery, and postoperation went well with no major complications. Conclusion. RadiAnt DICOM Viewer shows up as a free, simple, and accessible tool with great potential for 3D rendering. The resulting detailed preoperative understanding of the nature of the lesion, as well as the surgical view obtained from simulation of the perspective of intraoperative positioning, will enable the surgeon to achieve better outcomes from the surgery itself.

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Attitude and Behavior of Emerging Novel COVID-19 Disease Khartoum, Sudan

Research Article

1. Abstract
1.1. Background: The emerging COVID-19 is a devastating life-threatening disease, which is characterized by high morbidity. More than 40 million people have been affected globally with case fatality rate ranging between 5 – 10%. Attitude and behavior play a major role in preventing the emerging and re-emerging diseases. Our study aimed at assessing attitude and behavior of participants towards COVID-19.
1.2. Methods: This is a descriptive cross-sectional community-based study. It was carried out in Khartoum States (Khartoum, Bahri and Omdurman localities). A total of 1200 participants were randomly interviewed face-to-face using close ended questionnaire. A multistage cluster sampling technique was applied. Statistical Package for Social Science (SPSS) Smart PLS were used. Logistic regression, factor analysis and tree analysis were performed.
1.3. Results: Negative attitude was reported in greater that half of participants [(52.7%, n= 632, ], whilst positive attitude was noted in [(47.3%, n= 568, ]. Regarding behavior, more than half of the participants [(55.3%, n= 663, ] had poor behavior, whereas the remaining [(44.7%, n= 537, ] had good behavior. Factor analysis revealed that, three factors extracted which explain 56% of change occurring attitude towards COVID-19 of the surveyed participants they were recorded into; misconceptions about covid19, infodemics of COVID19, and negative stereotyping. The spectrum of behavior was noted in; response to isolation strategy, anticipated stigma, and enacted stigma (61%). Logistic regression showed that, monthly income between 2000-2999 SDG was 2.25 times more likely to have negative attitudes towards COVID19 ( , p <0.001, AOR=2.25, 95% C.I.; 1.48 -3.41,). Educational status was statistically associated with attitude towards COVID19 ( p <0.001). Males were 0.62 less likely to have poor behavior comparing with females ( , p <0.05, AOR=0.62, 95% C.I.; 0.43 -0.89). Monthly income 2000-2999 SDG was 2.83 times more likely to have poor behavior towards COVID19 ( , p <0.001, AOR=2.83, 95% C.I.; 1.77 -4.52). Tree analysis revealed that attitude was the best predictor of behavior towards COVID-19. Locality was the best predictor of negative attitude.
1.4. Conclusion: Behavior and attitude combined have a potential effect on preventing and controlling COVID-19.

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Profile of Giant Abdominal Masses: An Experience of 30 Cases and Review of Literature

Research Article

1. Abstract
1.1. Background: Giant abdominal mass has not been a common presentation in the era of advanced radiological diagnostic modalities especially in socio-educationally well developed societies. In developing nations like India, patients with Giant abdominal masses do present, requiring surgical consultation/interventions. Majority of the times these are cystic masses, but solid giant abdominal masses are also encountered. A thorough clinical examination coupled with imaging and some tumour markers is essential to make a proper diagnosis and to provide adequate and proper treatment.

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