ABSTRACT
Objective: To determine the frequency of primary infertility in women suffering from fibroid uterus. Study Design: Cross-sectional study. Setting and Duration: Outpatient department of gynecology and obstetrics of Bolan Medical Complex Hospital Quetta from 1st Jan 2018 to 30th Jun 2018. Sample size: The calculated sample size is 203 patients, with 95% confidence level and absolute precision of 3%, taking percentage of infertility 5% with fibroid uterus. Sampling technique: Non-probability consecutive sampling. Results: A total of two hundred and three women presented with fibroid uterus were selected during study period through out patient department of Bolan Medical Complex Hospital Quetta. 12.8% were between 18-25 years, 45.3% were between 26-32 years and 41.9% were between 33 to 40 years of age. Out of 203 patients only 9.9% had infertility, and remaining 90.1% were enjoying healthy reproductive life. In 63% cases there were multiple and in 36.9% of cases were single fibroids. Conclusion: In our study only 9.9% patients with fibroid uterus had primary infertility. The remaining patients had no issue with conception having fibroids. Having fibroid uterus may be only one reason of infertility, many other aspects need to be considered while treating infertility.

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According to the world health organization 49% of the 10.4 million deaths occurring in children less than 5 years in developing countries are associated with protein Energy Malnutrition (PEM). The aims of this study to assess protein energy malnutrition among children less 5 years and identify the clinical management protocol treatment for the affected children at Mohammed Elameen Hamid. Methods and Material: This study targeting PEM children and health professionals at the hospital. Fifty (50) all professionals were interview (working staff) in malnourished children wards at Mohammed Elameen Hamid Hospital for Children. 140 children less than 5 years admitted to the hospital with PEM during the collection of data convincingly selected. The tool used to collected data in the study was questionnaire. Result: 80% of the health professionals are female. (50%) of the professional's respondent confirm that the major causes of malnutrition were parent's awareness, economic status and culture. (90%) of the professionals respondent agree that national and international treatment protocols have been applying at the hospital. (90%) were sure that undergo enough treatment and flow up for malnutrition child at the hospitals. (56%)agree about the number of children with malnutrition admitted to the hospitals in the past five years increases year after year. 66% of the professionals were revealed that suitable treatment for children with malnutrition are includes drugs, balance diet, and ORS (oral dehydration solutions). 43.6% of children their age 12-24 month, 58% are male, 80% of them weaned gradually, 92.1 % take 3-4 meals/day, 58.6 % of them are marasmic, 55.0% have deficiency Anemia's, Pneumonia, Acute Bronchitis before get malnourished. Fathers and mothers education level was basic education (44.3%) and (46.4) respectively. Conclusion: Hospital has been use national and international treatment protocols. Affected children admitted to hospital increase year after year.

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This study analyzes the social stakes of women's bounced buttocks in the construction of conjugal relationships. The study is essentially qualitative, using appropriate investigation tools in this case, documentary analysis and semi-structured interviews administered to a category of actors in Abidjan. On the basis of this methodological approach, we came up with the following results: The singularity of the construction of differentiated relationships to the body takes into account the socio-cultural positions that are particularly found on the silhouettes of the skin and face. Thus in Abidjan, the body, which produces identity through its appearance through buttock enlargement, occupies an important place in the process of capturing the attention of the spouse and integration into the future home. On this basis, the actors construct an identity through their relationship with the body from the visible dimension of beauty that is the rounded buttocks, enabling them to perceive, move and communicate.

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This work aims to provide an alternative source of raising the temperature of water used in soaking cassava to a level that is normal for fermentation process to start and maintain it for the period of four days. Test was carried out to determine the effect of the environmental temperature on cassava fermentation process. Two set of tanks were used to soak the cassava, one was under control (temperature controlled water tank) and the other not controlled for a period of four and six days respectively. The maximum environmental temperature and process temperature for the controlled experiment was found to be 28oc and 34oc respectively while for the uncontrolled experiment, the maximum environmental and process temperature was found to be was found to be 28oc and 32oc respectively. The electrical parameters of the completed water tank was measured and it was found that the output voltage of the zener diode used to clean up the output of the voltage comparator was 5.2V instead of the rated 5.6, while the output of the set point temperature to voltage converter circuit was 8.34 volt instead of the calculated 8.39volts.

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COVID-19 which is caused by SARS-CoV-2 is among the severe respiratory disease to be witnessed to date. SARS-Cov-2 brought about therapeutic and preventive difficulties all over the globe. The aim of this review is to evaluate the best possible therapeutic options to tackle the Novel Coronavirus related disease. We extracted relevant published studies with keywords such as COVID-19 therapies, Sars-Cov-2 treatment and Noval Coronavirus antiviral therapy from Pubmed and carefully studied them. We focused on Tocilizumab, chloroquine and hydroxychloroquine, Lopinavir/Ritonavir, Remdesivir, Traditional Chinese Medicine and Ivermectin. Coronavirus induce Cytokines Releasing Syndrome (CRS) which in turn causes Cytokines Storm. This is the inflammatory response which causes the releasing of large number of IL-6. This causes increased vascular permeability which in turn result in the infiltration of fluids in the alveolar spaces and causes breathing problems. Tocilizumab can block the inflammatory response induced by SARS-CoV-2 infection and hence prevent the vascular permeability which in turn prevents the pulmonary edema and Disseminated Intravascular Coagulation (DIC) and hence prevent respiratory failure. Remdesivir which is an adenosine nucleotide analogue, has broad-spectrum antiviral activity against RNA Viruses. This means remdesivir can prevent the viral replication and hence lower the viral load and ultimately reduce the duration of illness and hospitalization. Ivermectin which is FDA approved broad spectrum antiparasitic agent, works by preventing the entrance of viral protein in the host cell nucleus. Ivermectin binds to the viral protein transporters Importin (IMP) α and β1. This action prevents the binding of the viral protein to the Importin (IMP) which results in the lower infection rate and decreased viral load. Lower rate of infection and decreased viral load will reduce duration of illness and prevent transmission of SARS-CoV-2. So, the concomitant .......

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Objective: To determine frequency and prognosis of stroke in patients with hyperglycemia in the acute phase at the Neurology department of Yalgado Ouedraogo Teaching University Hospital. Patient and Methodology: We conducted a 6 years cross-sectional study on acute stroke patients admitted in the neurology department of Yalgado Ouedraogo Teaching Hospital from 1st January 2011 to 30 June 2017. This study included only patients with hyperglycemia at admission (≥ 6.1 mmol/l). Results: The overall frequency of admission hyperglycemia was 7.27% with respectively 8 % in AIS and 6.1% in ICH. The overall mean age of patients with was 58.83 years. The majority of patients was male gender (52.6%). According to diabetes status, 70.8% of patients were known diabetics (39.4%), 31.4% new diabetics and 29.2% had stress hyperglycemia. The frequency of known diabetics was higher in AIS (p=0.000003) while stress hyperglycemia was most frequent in ICH (p= 0.0001). The majority of patients (74.5 %) had severe neurological deficit with NIHSS ˃15. Severe hyperglycemia (≥ 11.0 mmol/l) was present in 62.7% of patients. The majority of patients was treated with insulin (52.6 %) who was given alone mostly in AIS (p˂0.05). Patients who did not received any treatment were in the group of ICH (p˂0.05). The overall mean length of stay was 13.35 days. At discharge, 60.6% of patients were euglycemics. The overall mortality was 22.6% with higher mortality in ICH (p˂0.05). At discharge, the majority of survivors (69.3%) had worse functional outcome (mRS˃2). The factors influencing the mortality of AIS were known diabetes, severe hyperglycemia and no hypoglycemic agents (p˂0.05). In ICH, the mortality risk factors were previous diabetes, glucose level (7-7.7 mmol/l) and t combined hypoglycemic agents. Conclusion: Admission hyperglycemia in stroke is rare in our context. Stress hyperglycemia is most common in ICH. Insulin treatment was mostly used. Mortality rate of higher both in AIS and ICH.

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Case Report: Two female patients aged 8 and 9 years old with amelogenesis imperfecta (AI) reported unsatisfactory aesthetics, difficulty in mastication, and dental hypersensitivity. The clinical examination observed mixed dentition with antero-posterior malocclusion and anterior open-bite. A hypocalcified form of AI was diagnose. A multidisciplinary management plan was performed and divided into preventive, restorative, and prosthetic and interceptive stages. Initially, preventive treatment was implemented, with fluoride varnish applications, in order to reduce the dental sensitivity. In the second stage, in the posterior teeth, stainless steel crowns were performed with minimally invasive dental preparation. Direct composite resin restorations were used to improve the appearance of anterior teeth. Finally, the follow-up was programmed to control restoration’s integrity, oral hygiene. Conclusion: Successful reduction of the dental hypersensitivity and improvement of the aesthetic and functional aspects as well as quality of life were observed.

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The oral health of pregnant mothers is one of the important factors affecting their health and their fetus health. Due to the poor oral hygiene of pregnant women and the requirement of appropriate solutions for this issue, gathering sufficient information on the oral health of the target population is essential. Therefore, this study was conducted to evaluate the oral health status of pregnant mothers referring to the educational centers Al-Zahra and Tabriz Dental School. Method and material: This descriptive cross-sectional study was performed on 60 pregnant mothers during the first half of 2019. They had referred to Al-Zahra Medical Training Center and Tabriz Dental School. For each case, a checklist includes demographic information and oral examination. Oral examinations include a Simplified Oral Health Index (OHI-S), Gingival Index (GI), and Plaque Index (PI). Finally, linear and logistic regression models were used to evaluate the relationship between studied variables. Results: 60 pregnant mothers were studied, 25% of them did not visit a dentist and 10% did not brush their teeth. OHI-S (0-3.33) was 1.08, PI (0-3) was 1, and GI was 0.90 ± 1.98. Also, 80% of the studied population was diagnosed with gingivitis. A significant relationship was observed between PI and the location of residency of pregnant mothers. 88.3% of pregnant mothers brushed their teeth, 26.7% of them used salt water, 18.3% used floss, and 5% of them used mouthwash. There was a significant relationship between education and oral hygiene routine. Also, pregnant mothers who used saltwater had a better GI. Conclusion: The result of our study indicated poor oral and dental hygiene of pregnant mothers and this is more evident among mothers who had lower socioeconomic status and lower level of education.

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Background: Kupang Regency and Kupang City are two areas with a high number of infant mortality cases (including AKN) and contribute quite significantly to the number of infant and neonatal deaths at provincial and national levels and make both regions one of the regions with the number of infant and neonatal deaths is higher than other regions in Indonesia. Method: This research is a non-experimental study with a cross sectional approach. The research sample was 73 midwives in all puskesmas in Kupa City and Kupang Regency which were determined by total sampling. Result: The results showed that (a) the knowledge factor did not have a relationship with the skills of the midwife in carrying out resuscitation and stabilization in neonates who experienced respiratory distress in the delivery room of the Kupang area health center. (b) The training factor has a relationship with the skills of the midwife in carrying out resuscitation and stabilization in neonates who experience respiratory distress in the delivery room of the Kupang area health center. (c) The length of service factor has a relationship with the skills of the midwife in carrying out resuscitation and stabilization in neonates who experience respiratory distress in the delivery room of the Kupang area health center. (d) The work status factor does not have a relationship with the skills of the midwife in carrying out resuscitation and stabilization in neonates who experience respiratory distress in the delivery room of the Kupang area health center. (e) The factor of tenure is the factor that has the most dominant relationship with the skills of the midwife.

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Public universities in Kenya have experienced recurrent employees’ unrest which could be as a result of ineffective internal communication between the university and its employees. During crisis, effective internal communication is vital as it is the only way the organization and employees can dialogue and stop the crisis. Despite vast research on organizational internal communication, literature on employees’ perception on internal communication during unrest in Kenyan public universities during unrest is deficient. Data was collected by means of questionnaires and FGDs among 374 employees and 114 union officials respectively. The findings revealed that the employees felt that during unrest there are no sufficient internal communication channels, and opportunities within the organization to give suggestions. Moreover, the study ascertained that the organizations do not support two-way communication between employees and management during unrest. The other finding was that during unrest the information employees got from their organization was unreliable and untimely. Therefore, the employees are largely dissatisfied with the internal communication between them and the organizations they work for during unrest.