iosr-JDMS   Volume-20 ~ Issue-8 ~ Aug. 2021

Abstract: The technology of organizing the process of developing logical thinking skills of elementary school pupils is the great challenge. Every moment in school the teacher is facing the development of logical thinking of students, the level of formation of which largely determines consciousness, the efficiency of mastering the foundations of sciences, the ability to navigate independently in an ever growing volume of information, apply existing knowledge to the maximum benefit, create the most favourable conditions for acquiring new knowledge and to communicate it to others. The development efficiency will increase if we implement the psychological and pedagogical conditions and mental ability and intelligence for the development of logical thinking with scientific reason and understanding........

Keywords: Development of logical thinking among students, elementary class, , technology, creativity, interest, personality , intelligence

[1]. The Resolution of the Cabinet of Ministers of the Republic of Uzbekistan on the Approval of the State Educational Standards of secondary and secondary specialized, vocational education. Tashkent, April 6, 2017, № 187.
[2]. Incheon declaration/ Education 2030: Towards inclusive and equitable qualit education and lifelong learning for all (Word Education Forum, 19-22 may 2015, Incheon, Republic of Korea). - 6
[3]. Decree of the President of the Republic of Uzbekistan dated February 7, 2017 № PF-4947 "On the strategy of further development of the Republic of Uzbekistan". - Collection of Laws of the Republic of Uzbekistan, 2017, No. 6 Article 70.
[4]. Vygotsky L.S. Collected works. TZ- M.: Pedagogy, 1997.-764
[5]. Piaget, J. Selected psychological works. Per. with French J. Piaget - M.: "Pedagogy", 2001. - 527

Abstract: During pregnancy thyroid is hyper stimulated, resulting in changes in thyroid hormone concentrations. Normal thyroid function is important for mother and growing fetus in the course of pregnancy. This article discusses the changes in thyroid physiology that occur during pregnancy Trimester-specific intervals are especially important during pregnancy when thyroid insufficiency may be associated with adverse obstetric outcome and fetal neuro developmental deficits. Appropriate management results in improved outcomes, demonstrating the importance of proper diagnosis and treatment......

Keyword: Pregnancy, Total T3, Total T4, TSH.

[1]. Glinoer D. The regulation of thyroid function in pregnancy: pathways of endocrine adaptation from physiology to pathology. Endocrine reviews. 1997 Jun 1;18(3):404-33.
[2]. Fantz CR, Dagogo-Jack S, Ladenson JH, Gronowski AM. Thyroid function during pregnancy. Clinical Chemistry. 1999 Dec 1;45(12):2250-8.
[3]. Abalovich M, Amino N, Barbour LA, Cobin RH, De Groot LJ, Glinoer D, Mandel SJ, Stagnaro-Green A. Management of thyroid dysfunction during pregnancy and postpartum: an Endocrine Society Clinical Practice Guideline. The journal of clinical Endocrinology & Metabolism. 2007 Aug 1;92(8_supplement):s1-7.
[4]. Negro R, Mestman JH. Thyroid disease in pregnancy. Best Practice & Research Clinical Endocrinology & Metabolism. 2011 Dec 1;25(6):927-43.
[5]. American College of Obstetricians and Gynecologists. ACOG practice bulletin. Clinical management guidelines for obstetrician-gynecologists. Number 37, August 2002.(replaces practice bulletin number 32, November 2001). Thyroid disease in pregnancy. Obstetrics and gynecology. 2002 Aug;100(2):387-96..

Abstract: Objective: we aimed to provide comparison of D-dimer & CRP with wave 1st & 2 nd with severity of disease. Methods: 100 patients admitted in Shri Mahant Indresh Hospital Covid Ward with positive RT PCR for wave 1 & wave 2. Serum samples taken and run on VITROS 5600/7600 which is dry chemistry and reported for D-dimer & CRP. Results: with 100 patients data was collected for wave 1 & wave 2 for Covid 19. D- dimer- Mean± SD - 2161±2679 & CRP 29.85±25.36 wave1& D-dimer- Mean±SD - 3106±4286 & CRP 53.02±62.52 wave 2 both are significant. D-dimer is significant for both wave1 & wave 2 of Covid 19......

[1]. Thompson D,Pepys MB, Wood SP ( February 1999)."the physiological structure of human C-reactive protein and its complex with phosphocholine".Structure.7(2):169-77.PMID10368284.
[2]. Pepys MB, Hirschfield GM (June 2003). "C-reactive protein:a critical update"The Journal of Clinical Investigation.111(12):1805-12.doi:10.1172/JCI18921.
[3]. Lau DC, Dhillon B, Yan H,Szmitko PE, Verma S (May 2005).Adipokines :molecular links between obesity and atherosclerosis".American Journal of Physiology. Heart and Circulatory Physiology.288(5):H2031-41.PMID 15653761.
[4]. Mantovani A,Garlanda C, Doi A, Bottazzi B (January 2008). " Pentraxins in innate immunity: from C-reactive protein to the long pentraxin PTX3". Journal of Clinical Immunology.28(1):1-13.PMID 17828584.
[5]. Tillet WS, Francis T (September 1930). "Serological reactions in pneumonia with a nonprotein somatic fraction of pneumococcus". The Journal of Experimental Medicine. 52(4):561-71.PMID 19869788..

Abstract: INTRODUCTION: Nerve monitoring is an essential part of thyroid, parotid and vestibular schwannoma surgery in the present era. The use of nerve monitor can reduce damage to the vital structures while operating. Nerve injury is a serious complication of thyroid surgeries as damage to the recurrent laryngeal nerve (RLN) during thyroid surgery can result in compromising airways, voice changes and aspiration. Intraoperative nerve monitoring (IONM) has become one the most widely used adjunct for identifying the RLN and allows real-time identification and functional assessment of the RLN in the operative field. Although, the rate of injury to the nerve has been reported to be relatively low but most of them believes that these types of injury must be reduce further. The use of this technology in thyroid surgery has been a much-debated topic for years. No consensus exists regarding IONM's effectiveness in preventing RLN injury. So, it is recommended to assess the cost effectiveness of using IONM in thyroid surgeries........

[1]. Riddell VH. Injury to recurrent laryngeal nerves during thyroidectomy; a comparison between the results of identification and non-identification in 1022 nerves exposed to risk. Lancet. 1956 Sep 29;271(6944):638–641. [2]. Miller MC, Spiegel JR. Identification and monitoring of the recurrent laryngeal nerve during thyroidectomy. Surg Oncol Clin N Am. 2008 Jan;17(1):121–144. [3]. Feinstein B. The application of electromyography to affections of the facial and the intrinsic laryngeal muscles. Proc R Soc Med. 1946 Oct;39(12):817–819. [4]. Delgado TE, Bucheit WA, Rosenholtz HR, Chrissian S. Intraoperative monitoring of facila muscle evoked responses obtained by intracranial stimulation of the facila nerve: a more accurate technique for facila nerve dissection. Neurosurgery. 1979 May;4(5):418–421. [5]. Brennan J, Moore EJ, Shuler KJ. Prospective analysis of the efficacy of continuous intraoperative nerve monitoring during thyroidectomy, parathyroidectomy, and parotidectomy. Otolaryngol Head Neck Surg. 2001 May;124(5):537–543.

Abstract: Background: The goal of this study was to use cone beam computed tomography (CBCT) to investigate the prevalence of middle mesial canals (MMC) in mandibular molars in the Kozhikode population (Kerala, India). Materials and Methods: CBCT images of 103 patients were chosen from the department of oral medicine and radiology at the government dental college in Kozhikode, Kerala, India, as well as one private centre. The number of roots, canals, and presence and shape of MMC were assessed in mandibular first and second molars with no indication of previous root canal treatment, full coverage restorations, or root resorption. The patients' age and gender were also noted. Analysis.......

Keywords: cone beam computed tomography, middle mesial canal, mandibular molar, root canal treatment

[1]. Ahmed H, Durr e S, Rahman M. Frequency and distribution of endodontically treated teeth. J Coll Physicians Surg Pak. 2009;19(10):605-8.
[2]. Scavo R, Martinez Lalis R, Zmener O, Dipietro S, Grana D, Pameijer CH. Frequency and distribution of teeth requiring endodontic therapy in an Argentine population attending a specialty clinic in endodontics. Int Dent J. 2011;61(5):257-60.
[3]. Barker B, Parsons K, Mills P, Williams G. Anatomy of root canals. III. Permanent mandibular molars. Australian dental journal. 1974;19(6):408-13.
[4]. Ballullaya SV, Vemuri S, Kumar PR. Variable permanent mandibular first molar: Review of literature. J Conserv Dent. 2013;16(2):99-110.
[5]. Arora A, Acharya SR, Sharma P. Endodontic treatment of a mandibular first molar with 8 canals: A case report. Restorative dentistry & endodontics. 2015;40(1):75

Abstract: Background: Computer vision syndrome (CVS) is a group of ocular and extra-ocular symptoms that occur associated with high-intensity computer use. The prevalence of CVS increases in conjunction with increasing use of computers in work and daily life, including in the population of health workers. However, there are still few researches that study CVS in health workers, so this research was conducted to study the prevalence and characteristics of CVS in health workers in a general hospital in Bali, Indonesia. Method: This study used an analytical observational design. Respondents were recruited by convenience sampling technique. Data were collected using questionnaires that were filled out by the respondents. The data collected includes demographic variables, characteristics of computer use, and CVS symptoms. Descriptive data analysis was performed with IBM SPSS 23.0.......

Keywords: computer vision syndrome, health workers, descriptive, Bali, Indonesia

[1]. Blehm C, Vishnu S, Khattak A, Mitra S, Yee RW. Computer vision syndrome: A review.Surv Ophthalmol. 2005;50(3):253-262. doi:10.1016/j.survophthal.2005.02.008
[2]. Sa EC, Ferreira Junior M, Rocha LE. Risk factors for computer visual syndrome (CVS) among operators of two call centers in São Paulo, Brazil.Work. 2012;41(SUPPL.1):3568-3574. doi:10.3233/WOR-2012-0636-3568
[3]. Dessie A, Adane F, Nega A, Wami SD, Chercos DH. Computer vision syndrome and associated factors among computer users in Debre Tabor town, Northwest Ethiopia.J Environment Public Health. 2018;2018. doi:10.1155/2018/4107590
[4]. Agarwal S, Goel D, Sharma A. Evaluation of the factors which contribute to the ocular complaints in computer users. J Clin Diagnostic Res. 2013;7(2):331-335. doi:10.7860/JCDR/2013/5150.2760
[5]. Vikanaswari GI, Handayani AT. The Screening of Computer Vision Syndrome in Medical Students of Udayana University.Bali J Ophthalmol. 2018;2(2):28-34. doi:10.15562/bjo.v2i2.20

Abstract: Background: Coats disease is an idiopathic eye disease, primarily affecting young children. Its most important differential diagnosis is unilateral retinoblastoma, whose prognosis and therapeutic management are different, hence the importance of the anatomo-clinical correlation.
observation: This is a 13-month-old boy who presented with leukocoria in his left eye for 4 months. The initial ophthalmologic examination showed the negativity of the pursuit, threat, glare and photomotor reflexes. Examination of the anterior segment revealed edema of the cornea with decreased depth of the anterior chamber......

Keywords: Coasts disease, telangiectasis, exsudative retinal detachment

[1]. Coats G: Forms- of retinal disease with massive exudation. R Lond Ophthalmol Hosp
[2]. B. Förl • I. Schmack • H.E. Grossniklaus • K. Rohrschneider Universitäts-Augenklinik Heidelberg Morbus Coats , Wichtige Differenzialdiagnose zum Retinoblastom.
[3]. Vahedi, L. Lumbroso-Le Rouic, C. Levy Gabriel, F. Doz, I. Aerts, H. Brisse, O. Berges, M.T. Iba Zizen, L. Desjardins Diagnostic différentiel du rétinoblastome : étude rétrospective de 486 cas
[4]. Shields JA, Shields CL, Parsons HM (1991) Review: Differential diagnosis of retinoblastoma. Retina 11: 232–243
[5]. Shields JA, Shields CL (2001) Differentiation of Coats' disease and retinoblastoma. J Pediatr Oph¬thalmol Strabismus 38: 262–266.

Abstract: INTRODUCTION: Cerebral venous thrombosis is thrombosis of cerebral veins and dural sinuses which can cause a stroke. Timely diagnosis of cerebral venous thrombosis is needed to decrease morbidity and can be life-saving. MATERIAL & METHODS: It was a prospective observational study done from October 2017 to September 2019. The present study was carried out on 30 patients admitted in the Department of Medicine and Neurology with a confirmed diagnosis of Cerebral Venous Sinus Thrombosis. All patients assumed to have CSVT/CVST were investigated BUT only those candidates who are confirmed with MRI, MR venogram were taken up for study RESULTS: Mean age...

Keywords: Cerebral Venous Sinus Thrombosis, clinical profile, risk factors, outcome

[1]. Bousser MG. Cerebral venous thrombosis : nothing, heparin or local thrombolysis. Stroke, 1999. 30:481-3.
[2]. Ameri A, Bousser MG. Cerebral venous thrombosis. Neurol Clin, 1992. 10:87 -111.
[3]. Villringer A, Mehraen S, Einhaupl KM. Pathophysiological aspects of cerebral sinus venous thrombosis. J Neuroradiol, 1994. 21:72-80.
[4]. Bousser MG, Chiras J, Bories J, Castagne P. Cerebral venous thrombosis- a review of 38 cases. Stroke, 1985. 16:199-213
[5]. Bousser MG, Barnett HJM. Cerebral venous thrombosis. In: stroke: pathophysiology, diagnosis and management, 4th edition. New Yord. Churchill Livingstone, 2004; 300-21

Abstract: Résumé : Introduction : Le massage cardiaque récent prolongé est une contre-indication relative à la thrombolyse. Matériels et méthodes : Nous rapportons le cas d'un arrêt circulatoire ayant bénéficié d'une réanimation cardiopulmonaire agressive, prolongée (massage cardiaque externe et choc électrique externe) récupéré avec évolution favorable après administration d'un thrombolytique Résultats : La rapidité d'évolution et l'aggravation clinique malgré la réanimation agressive ont contraint à l'administration de cette thérapeutique ultime après évaluation du rapport bénéfice/risque sur les données de la clinique. Conclusion : Cette thérapeutique agressive.......

Keywords: thrombolyse, arrêt cardiaque, réanimation cardio-pulmonaire

[1]. Zipes DP, Wellens HJ. Sudden cardiac death. Circulation. 1998;98(21):2334-51.
[2]. Spaulding CM, Joly LM, Rosenberg A, Monchi M, Weber SN, Dhainaut JF, et al. Immediate coronary angiography in survivors of out-of-hospital cardiac arrest. N Engl J Med. 1997;336(23):1629-33
[3]. Keuper W, et al. Reperfusion therapy in out-of-hospital cardiac arrest: current insights. Resuscitation. 2007;73(2):189–201.
[4]. Otani T, et al. Resistance to conventional cardiopulmonary resuscitation in witnessed out-of-hospital cardiac arrest patients with shockable initial cardiac rhythm. J Cardiol. 2016;68(2):161–7.
[5]. Van de Werf F, Ardissino D, Betriu A.et al Management of acute myocardial infarction in patients presenting with ST‐segment elevation; the Task Force on the Management of Acute Myocardial Infarction of the European Society of Cardiology. Eur Heart J 20032428–66.