iosr-JDMS   Volume-21 ~ Issue-6 ~ June 2022

Abstract: Healthcare professionals such as nurses encounter various health hazards that affect their work performance. This is because they work in extremely stressful conditions which tend to distort their emotional balance resulting into pervasive feelings of frustrations and hopelessness. Previous studies have reported varying outcomes regarding how stress affects job performance of nurses. This study sought to investigate the effect of stress on performance of nurses in public hospitals in Nakuru County, Kenya. The study population comprised of 21 departmental wards-in-charges and 345 nurses from health facilities in Nakuru county. Purposive sampling was used to select all the nurses in the critical care units in selected health facilities in Nakuru County with a total of 187 nurses. Closed ended questionnaires with likert scales of five response categories were used to collect data. Data was collected after......

Keywords: Stress, Stress Management, performance of nurses.

[1]. AbuAlRub, R. F. (2014). Job stress, job performance, and social support among hospital nurses: Journal of Nursing Scholarship, 36(1), pp73-78.
[2]. Christodolon-Fella, C. (2018). Emotional intelligence: a vital prerequisite for recruitment in nursing. Journal of Nursing Management, 9(6):321-324.
[3]. Ciarrochi, D. R. (2018). Models of emotional intelligence. In R. Sternberg (Ed.), Handbook of intelligence. Cambridge: Cambridge University Press.
[4]. Dusseldorp, A. (2011). Organizational justice: Personality traits or emotional intelligence? An empirical study. Journal of Employment Counseling, 49(1), 31-42
[5]. Kilfedder, H. (2013). Occupational stress and emotional intelligence in the context of emotional fatigue among Chinese nurses, Journal ofBehaviour Management, 12:351-360.

Abstract: Background:Fibreoptic bronchoscopy (FOB) is a very useful and safe procedure for diagnosis of various respiratory diseases. It is a universally accepted procedure both in the diagnosis and therapy of different pulmonary disorders. It can be performed under local anaesthesia in various clinic/hospital settings providing maximal visualization of tracheobronchial tree. Bronchoalveolar lavage (BAL) i.e., saline wash of bronchial tree was introduced way back in 1970. It remained as an investigative technique and research tool but did not reach the status of the diagnostic toll in India until 1994.BAL can be used to diagnose various infectious and non-infectious diseases of the lung and it remains the only effective treatment for alveolar proteinosis. Materials and Methods:In this cross.......

Keywords: Bronchoalveolar Lavage, Fibreoptic Bronchoscopy

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[5]. Bhatia, G. C., Hemvani, N., &Chitnis, D. S. (2006). Role of bronchoalviolar lavage in pulmonary infections. Lung India, 23(4), 147-150.

Abstract: Background: Tonsillectomy is a basic procedure for ENT surgeons worldwide. This field has shown remarkable evolution in the field of introduction of newer equipments for tonsillectomy. However , more conclusive data is required to evaluate the various methods of tonsillectomy. Coblation tonsillectomy was first introduced in 1998. Subsequently, there have been many researches to find out the ideal suitable method for tonsillectomy, however no conclusion has been made to say what is called the 'gold standard' for tonsillectomy. In developing countries like ours the use of newer methods is still under nascent stage. Among the newer methods coblation has found its promising place. So here in our study we have compared the two methods of tonsillectomy i.e. the coblation technique and the dissection and snare method of tonsillectomy.

[1]. Prasad KC, Prasad SC. Assessment of operative blood loss and the factors affecting it in tonsillectomy and adenotonsillectomy. Indian J Otolaryngol Head Neck Surg [Internet]. 2011;63(4):343–8. Available from: http://dx.doi.org/10.1007/s12070-011-0268-9
[2]. Nallasivam DM, Sivakumar DM. A comparative study of coblation versus conventional tonsillectomy. IOSR j dent med sci [Internet]. 2017;16(04):102–7. Available from: http://dx.doi.org/10.9790/0853-160406102107
[3]. Noon AP, Hargreaves S. Increased post-operative haemorrhage seen in adult coblation tonsillectomy. J Laryngol Otol [Internet]. 2003;117(9):704–6. Available from: http://dx.doi.org/10.1258/002221503322334521
[4]. Noordzij JP, Affleck BD. Coblation versus unipolar electrocautery tonsillectomy: a prospective randomised single blind study in adult patients. Laryngoscope. 2006;116(8):1303–9.
[5]. Rakesh S, Anand TS, Payal G, Pranjal K. A prospective, randomized, double blind study of coblation versus dissection Tonsillectomy in adult patients. Indian J Otolaryngol Head Neck Surg. 2012;64(3):290–4

Abstract: L'occlusion de l'artère centrale de la rétine (OACR) ou d'une de ses branches (OBAR) correspond à une obstruction soudaine de la lumière d'un vaisseau artériel rétinien. Ce phénomène est l'équivalent oculaire d'un accident vasculaire cérébral ischémique ou encore d'un infarctus du myocarde. L'OACR doit être considérée comme un équivalent d'accident ischémique cérébral (AIC) au niveau rétinien. (6) Les territoires vascularisés par l'artère occluse sont privés d'apport sanguin (oxygène et nutriments) et connaissent une mort cellulaire certaine au-delà de 90 minutes d'ischémie.

[1]. Ammous I, Zhioua Braham I, EL Amri Mezghanni K, Boukari M, Errais K, Zhioua R. Occlusion de l'artère centrale de la rétine révélant une endocardite infectieuse. J Fr Ophtalmol. 1 avr 2018;41(4):e167‑8.
[2]. Coisy S, Leruez S, Ebran JM, Pisella PJ, Milea D, Arsene S. Apports du bilan étiologique des occlusions de l'artère centrale de la rétine et de ses branches et conséquences thérapeutiques. J Fr Ophtalmol. 1 nov 2013;36(9):748‑57.
[3]. Tétralogie de Fallot et ses variantes - ClinicalKey [Internet]. [cité 7 mai 2022]. Disponible sur: https://www.clinicalkey.fr/#!/content/emc/51-s2.0-S1637501721653462
[4]. Tsai FF, Spindle JD, Lazzaro EC, Olumba KC. Central retinal artery occlusion in a patient with tetralogy of Fallot. J Am Assoc Pediatr Ophthalmol Strabismus. 1 déc 2013;17(6):621‑2.
[5]. Patient Positioning and Associated Risks - ClinicalKey [Internet]. [cité 5 mai 2022]. Disponible sur: https://www.clinicalkey.fr/#!/content/book/3-s2.0-B9780323596046000341?scrollTo=%23hl0001254
[6]. Occlusions artérielles rétiniennes - ClinicalKey [Internet]. [cité 7 mai 2022]. Disponible sur: https://www.clinicalkey.fr/#!/content/emc/51-s2.0-S0246034321840423?scrollTo=%23hl0000366

Abstract: Objectives: To evaluate the effect of using diode laser as a treatment modality in management of myofacial pain dysfunction syndrome. Patients and Methods: Twenty-Four adult female patients suffering from pain related to the joint area and or limited mouth opening were included in the study. Patients were randomly divided into two equal groups; 24 patients each. Group I: Treated by using diode laser; 940 wave-length dose and a power of 1w. Group II: Treated by using diode laser; 940 wave-length doses and a power of 1.5 w. Duration of each session is 30 seconds. Each patient received 3 sessions per week for 4 weeks........

Key Words: MPD, Diode Laser, Helkim's Index, Algometer, low level laser therapy.

[1]. Curtis AW. Myofascial pain-dysfunction syndrome: the role of nonmasticatory muscles in 91 patients. Otolaryngol Head Neck Surg 1980;88(4):361-7.
[2]. Toh, A.Q.J.; Chan, J.L.H.; Leung, Y.Y. Mandibular asymmetry as a possible etiopathologic factor in temporomandibular disorder: A prospective cohort of 134 patients. Clin. Oral Investig. 2021.
[3]. Resende, C.; Rocha, L.; Paiva, R.P.; Cavalcanti, C.D.S.; Almeida, E.O.; Roncalli, A.G.; Barbosa, G.A.S. Relationship between anxiety, quality of life, and sociodemographic characteristics and temporomandibular disorder. Oral Surg. Oral Med. Oral Pathol.Oral Radiol. 2020, 129, 125–132.
[4]. Saccomanno, S.; Bernabei, M.; Scoppa, F.; Pirino, A.; Mastrapasqua, R.; Visco, M.A. Coronavirus Lockdown as a Major Life Stressor: Does It Affect TMD Symptoms? Int. J. Environ. Res. Public Health 2020, 17, 8907.

Abstract: The introduction of Lasers has revolutionized the technology in the field of light. It has seen action in both war and peace. Clinicians have been able to overcome several complications and patients' discomfort thanks to advancements in medical use for surgery. Lasers, too, have gained a specialized place in all disciplines of dentistry since their approval for medical use. Lasers were introduced into the field of clinical dentistry in the hopes of alleviating some of the disadvantages associated with traditional dental procedures. Since its first experiment in the 1960s for dental applications, the use of laser has exploded in the last two decades. Different types of lasers are available for clinical and specific use due to their many advantages. They work in a variety of power settings and pulse for soft and hard tissues.

Keywords: Lasers, soft tissue laser, hard tissue laser, Er:YAG, Waterlase

[1]. Dederich DN, Bushick RD. Lasers in dentistry: Separating science from hype. JADA. 2004 February; 135:204-212.
[2]. Maiman TH. Stimulated optical radiation in ruby lasers. Nature 1960;187:493-494.
[3]. Yukna RA, Scott JB, Aichelmann-Reidy ME, LeBlanc DM, Mayer ET. Clinical evaluation of the speed and effectiveness of subgingival calculus removal on single rooted teeth with diamond-coated ultrasonic tips. J Periodontol 1997;68:436-42.
[4]. Application of Lasers in periodontics: true innovation or myth? Periodontology 2000, Vol.50,2009,90-126.
[5]. Clayman L, Kuo P. Lasers in Maxillofacial Surgery and Dentistry. New York: Thieme, 1997: 1–9.

Abstract: Uterine fibroids are the most common benign uterine tumours in women with estimated incidence of 50% to 60%. They are smooth muscle tumour originating from myometrium. Only 30-40% of fibroids are symptomatic depending on its size and location. There is a current trend of women delaying child birth, the incidence of uterine fibroid increases with advancing age.Fibroid may be associated with 5-10% of infertility cases. Out of which only 1-2.4 % the fibroid is a sole abnormal finding in infertile couple..........

Key words- Infertility, Fibroid.

[1]. Wallach EE, Vu KK. Myomata uteri and infertility. ObstetGynecolClin North Am. 1995 Dec;22(4):791-9. PMID: 8786882. [2]. Somigliana E, Vercellini P, Daguati R, Pasin R, De Giorgi O, Crosignani PG. Fibroids and female reproduction: a critical analysis of the evidence. Hum Reprod Update. 2007 Sep-Oct;13(5):465-76. doi: 10.1093/humupd/dmm013. Epub 2007 Jun 21. PMID: 17584819. [3]. Pritts EA, Parker WH, Olive DL. Fibroids and infertility: an updated systematic review of the evidence. FertilSteril. 2009 Apr;91(4):1215-23. doi: 10.1016/j.fertnstert.2008.01.051. Epub 2008 Mar 12. PMID: 18339376. [4]. Metwally M, Farquhar CM, Li TC. Is another meta-analysis on the effects of intramural fibroids on reproductive outcomes needed? Reprod Biomed Online. 2011 Jul;23(1):2-14. doi: 10.1016/j.rbmo.2010.08.006. Epub 2010 Sep 6. PMID: 21549642. [5]. Metwally M, Cheong YC, Horne AW. Surgical treatment of fibroids for subfertility. Cochrane Database Syst Rev. 2012 Nov 14;11:CD003857. doi: 10.1002/14651858.CD003857.pub3. Update in: Cochrane Database Syst Rev. 2020 Jan 29;1:CD003857. PMID: 23152222.

Abstract: To identify 5-week pain intensity trajectories and their relationship to physical and psychological well-being in children and young people with cerebral palsy (CP). METHOD: A research study was undertaken with 101 Indian children and young people with CP, 49 of them were female. Their ages ranged from 8 to 18 years, with an overall mean age of 12 years and 11 months (SD, 3 years and 1 month). Physical and mental health (KIDSCREEN-27) were measured at baseline and after 5 weeks, as well as self-reported pain intensity (Faces Pain Scale – Revised). Latent class growth and generic linear models were used in statistical analysis........

[1]. Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007;109:8–14.
[2]. Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S, et al. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain. 2020;161(9):1976–82.
[3]. Brunton L, Hall S, Passingham A, Wulff J, Delitala R. The prevalence, location, severity, and daily impact of pain reported by youth and young adults with cerebral palsy. J Pediatr Rehabil Med. 2016;9(3):177–83.
[4]. Parkinson KN, Dickinson HO, Arnaud C, Lyons A, Colver A, SPARCLE group. Pain in young people aged 13 to 17 years with cerebral palsy: cross-sectional, multicentre European study. Arch Dis Child. 2013;98(6):434–40.
[5]. Penner M, Xie WY, Binepal N, Switzer L, Fehlings D. Characteristics of pain in children and youth with cerebral palsy. Pediatrics. 2013;132(2):e407-13.

Abstract: Background: Crown discoloration is one of the complications associated with traumatic dental injuries. Internal bleaching is a non-invasive method to restore tooth color which is performed after endodontic. Case Report: A 25-year-old man was referred suffering from occasional, spontaneous toothache around the maxillary right incisors. When he was 15 years old, he had tripped and fallen, traumatising the UR1 and causing an enamel-dentine fracture that did not expose the pulp. Three years after the accident,the UR1 started to become painful. The general dental practitioner root filled the tooth and it settled down. When a periapical radiograph was exposed it showed a poor root filling and large apical radiolucency. Case Management: Treatment begins with endodontic retreatment.............

Keywords: Trauma; Retreatment; Discoloration; Internal bleaching; Minimal invasive

[1]. Krishna, Akash et al. "Traumatic dental injury-an enigma for adolescents: a series of case reports." Case reports in dentistry vol. 2012 (2012): 756526. doi:10.1155/2012/756526
[2]. Scudine, Moreira et al. Esthetic and functional rehabilitation of anterior teeth after trauma: a case report. Clin Lab Res Den 2017:1-6.
[3]. Cardoso M, Rocha MJC. Association of crown discoloration and pulp status in traumatized primary teeth. Dent Traumatol. 2010;26:413–6. [4]. Abdelkader NN. Modified Technique for Nonvital Tooth Bleaching: A Case Report. Electron physician. 2015;7(6):1423–146. [5]. Bourguignon etal.International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations. Dental Traumatology. 2020;36:314–330.

Abstract: Background:Such studies have been conducted on small intestinal lesions in adults in the Indian population. Similar studies in pediatric age group demonstrating such a wide spectrum of lesions are very few.Some lesions are asymptomatic while some cause severe colicky abdominal pain and bleeding per rectum. However, some of them require an urgent surgical management.Material and Methods:This is a retrospective study of surgically resected small intestinal lesions received in the surgical pathology laboratory over a 5-year period (from January 2013 to December 2017). We received 96 cases of surgically resected small intestinal lesions in children below 12 years of age. The clinical details, radiological findings & pathological findings (gross & microscopy) retrived. The findings were tabulated......

Key Words: Atresia, Meckel's diverticulum, duplication cyst, intussusception.

[1]. John H, Rebecca W, Christopher R W. The Gastrointestinal Tract. In: Stocker J T, Dehner L P, editors. Pediatric Pathology. 4th edition. Wolters Kluver;2016.922-1071. [2]. Subbarayan D, Singh M, Khurana N, Sathish A. Histomorphological Features of Intestinal Atresia and its Clinical Correlation. J Clin Diagn Res. 2015; 9: 26-29. [3]. Suchitha S, Kumarguru B, Sunila, Manjunath G. Neonatal Intramural Calcification in Jejunal Atresia: Case Report of a Rare Phenomenon. International Journal of Applied and Basic Medical Research. 2017; 7:258-60. [4]. Choudhry MS, Rahman N, Boyd P. Pediatr Surg Int 2009;25: 727. [5]. Rattan KN, Singh J, Dalal P, Rattan A. Meckel's diverticulum in children: Our 12-year experience. African Journal of Pediatric Surgery: 2016; 13:170-74.

Abstract: Different technics are used to mesure the albuminaemia especially the immunochemical ones , colorometric end electrophoretic.The objective of this article is to carry out a correlation study between the mesure of albumin serum by the green of bromocresol method (Alb-BCG) and the technique of gel electrophoresis (Alb-EPP), first ;to deduce the statistic differences between the two methods ,and second ; to establish correlation equations in order to convert their results.The correlation study was on 80 samples in two stages. At first , an analysis of an exhaustive correlation including all pathological and normal protidemic values using the T-Test student with a p<0,05 as a statistically significant difference. At second, we have classified the 80 samples in 3 groups depending to their protidaemia (Hypoproptidaemia, normoprotidaemia and hyperprotidaemia), and we have applied a statistic study on each group using the T-test student (effective<30).

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[5]. Vanessa Garcia Moreira , Overestimation of albumin measured by bromocresol green vs bromocresol purple method : influence of acute-phase globulins , Laboratory Medicine 2018 :00 :1-7
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