International journal of health sciences
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A comparative evaluation of shear bond strength of directly bonded brackets using three varieties of light cure systems: An in-vitro study
Get PDFContext: Using Visible Light to bond orthodontic attachments is now an accepted norm, the progression being Halogens, Low and High Intensity Light Emitting Diodes (LEDs). Since, clinical use of bonded brackets is pragmatically linked with Shear Bond Strength (SBS) and chair-side time, adhesives with shorter curing time are a boon. Hence, the aforementioned facets bear a more detailed study. Settings and Design: 6 Groups (2 Halogens, 2 Low Intensity LEDs and 2 High Intensity LEDs); Each Group comprised of 10 assemblies of Metal Brackets (3M Unitek, Gemini Series) bonded to facial surface of extracted human Maxillary 1st bicuspids. Methods and Material: Brackets were directly bonded using Standard Bonding Protocol to freshly extracted Human Maxillary Premolars. Shear Bond Strength (SBS) testing was done using Universal Testing Machine, Instron. The SBS values attained in Kg/F were converted into MPa and results subjected to a comparative evaluation. Results: Mean SBS values, in MPa, for Halogen Light Cure Systems were 8.51 and 8.86; for Low Intensity LEDs were 10.50 and 10.33 while for High Intensity LEDs 15.54 and 13.85. 
Comprehensive analysis on COVID-19 and emergency department resource management: A Saudi Arabia perspective
Get PDFThe pandemic of 2019, coronavirus disease 2019 (COVID-19), resulted in substantial challenges within an entire generation worldwide. The ultimate and extent of the effect of this pandemic on the health of the general public, global economies, societal unity, and daily life is still not known. The uncertain behavior of the extent of this virus has led to great uncertainty in societies. This just keeps on developing as our knowledge develops regarding the nature of this virus and its characteristics with community responses. The current study has been framed with objectives of analyzing the influence and effects of the COVID-19 pandemic on individuals, society, hospitals and healthcare systems, and the mental health of people in Saudi Arabia. The study has also involved the analysis of difficulties faced in managing the COVID-19 pandemic with reference to supply chain management during the COVID-19 pandemic. We reviewed the previously published literature from various scientific websites to collect the desired data. In this Special Issue devoted to management of department resources for crisis and the COVID-19 pandemic, we plan to provide an outline for a better understanding of what COVID-19 means for emotional well-being administrations in the Kingdom of Saudi Arabia. 
Clinical profile of acute pancreatitis and the application of different severity indices in patients treated at Rehman Medical Institute, Peshawar
Get PDFBackground: Acute Pancreatitis (AP) is the inflammation of the pancreas. Based on the severity of the disease, one can easily manage it, for this purpose certain scoring systems, such as Ranson’s Score, Glasgow Score and modified CT Severity Index Score are being used to predict the severity and prognosis of AP. Objectives: The objective of our study is to assess the efficacy of various severity indices (Ranson’s score, Glasgow score, Modified CT severity index score) in predicting the prognosis of patients. Methodology: This retrospective study was conducted in the Dept of Medicine at Rehman Medical Institute, Peshawar, between May 2021 to September 2021 after approval from the Department of Research, Rehman Medical College. Data was retrieved from the patients’ records on a structured proforma. Those with a definitive diagnosis and were treated for acute pancreatitis in the past 5 years, were included in the study. Results: CT Severity Index Score found that out of 35 males, 10 (28%) had mild, 16 (45%) had moderate and only 9 (25%) had severe pancreatitis. Whereas out of the 34, only 5 (14%), 17 (50%) and 12 (35%) females had mild, moderate and severe disease respectively. 
Early versus delayed rehabilitation protocol after arthroscopic rotator cuff repair
Get PDFObjective: To assess the effect of immobilization versus early range of motion exercises in treating primary arthroscopic rotator cuff repair secondary to full-thickness tear. Design: Parallel group randomized clinical trial. Participants: 30 patients with primary arthroscopic rotator cuff repair secondary to full-thickness tear participated in the study. Interventions: Patients were divided into two groups, 15 in each group. The first group (A) received early range of motion (ROM) exercises started 2 weeks post-operative; and the second group (B) immobilized immediately post operative and received delayed range of motion exercises started 6 weeks post-operative. Main outcomes: Shoulder pain and function were assessed by shoulder pain and disability index (SPADI). ROM of shoulder flexion, abduction, and internal rotation were assessed by standard goniometer. Scapular protraction was assessed by digital caliper and scapular upward rotation was assessed by bubble inclinometer. All outcomes were assessed in both groups 6 weeks, 3 months and 6 months postoperative. Results: A significant increase in flexion, abduction and internal rotation ROM at 6 weeks, 3 months and 6 months was observed between groups in favor of Group A. 
Predictive clinical factors for penetration-aspiration in patients with nasopharyngeal carcinoma after radiotherapy
Get PDFPenetration-aspiration is the most serious complication in patients with nasopharyngeal carcinoma (NPC) after radiotherapy. Radiotherapy has been shown to increase the patient's survival rate and life expectancy but it showed serious side effects such as oropharyngeal dysphagia. It’s related morbidity and mortality such as penetration-aspiration could progress to aspiration pneumonia, sepsis, and death if not treated properly. Factors suspected to be the determinants of penetration-aspiration were the location of the pharyngeal residue, the stage of NPC, and the time after radiotherapy. This primary objective of this study was to determine the clinical factors of penetration-aspiration in patients with NPC after radiotherapy. In a cross sectional, observational analytic study, a total of 24 patients were obtained with consecutive sampling technique. Fiberoptic endoscopic evaluation of swallowing (FEES) examination was performed on patients with NPC after radiotherapy to assess pharyngeal residue and penetration-aspiration. The Yale Pharyngeal Residue Severity Rating Scale (YPR-SRS) and the Penetration-Aspiration Scale (PAS) was used to assess the presence of pharyngeal residue and penetration-aspiration, respectively. Statistical analysis used multiple logistic regression (p<0,05) and Wald statistics to find a stronger relationship between variables. 
On enchancing spoken fluency in students using task-based teaching: An exploratory study
Get PDFA person can identify oneself as an expert in any particular language only when he or she has the potential to communicate both in written and spoken mode of the given language. In order to enhance and develop this, it is essential that one requires a good amount of training and teaching using methodologies and strategies that will enable the students to acquire the language. For a student to develop and acquire expertise in speaking the target language one needs to be taught and trained using effective methodologies and strategies. Students’ curriculum and materials used in classroom needs to be designed by taking into account the needs and students demand for theory oral proficiency in the language. The research paper aims at enhancing a students’ oral fluency in the given target language by incorporating task-based language teaching methods
Aesthetic and educational values in Hussein Ali Haref texts for boys
Get PDFAfter reviewing a series of texts of the play directed at the boys by the writer Hussein Ali Harf, the researcher noted the aesthetic and pedagogical values dictated by these theatrical texts and to shed scientific light on them. The research consisted of four chapters. Chapter I contained a presentation of the research problem, which revolved around answering the following question: (What are the aesthetic and pedagogical values in the texts of Hussein Ali Harf for boys). The present research aims to reveal the aesthetic and educational values in the texts of the boys' theatre. Chapter II contains the theoretical framework, with three investigations, the first research: Aesthetic Values, Research II: Educational Values, Research III: Aesthetic and Educational Values in Boys' Theatre Texts and Chapter II concluded with Theoretical Framework Indicators Chapter 3 contains the research curriculum and procedures, since the current research aims to reveal the aesthetic and educational values in the texts of Hussein Ali Harf. The researcher has adopted the analytical descriptive curriculum as a methodological framework for building his research procedures as it is the most suitable scientific curriculum for achieving the research goal
Demographic data of Egyptian juvenile systemic lupus erythematosus during COVID-19 pandemic: A single centre study
Get PDFBackground: Juvenile Systemic lupus erythematous is a chronic autoimmune inflammatory disease that causes damage to various organs such as kidneys, blood, musculoskeletal and nervous system. SLE is variable ranging From mild to severe with unpredictable course of the disease and periods of remission and flares. Methods : The study included 67 patients diagnosed as having jSLE according to the Systemic Lupus International Collaborating Clinics(SLICC) for whom demographic data , full history and laboratory investigations were collected. Results: Among our study population were 13.4%males and 86.6% females with male to female ratio (1:6.4 ). Their mean age was 10.94±3 years. Most of our patients were from Giza (43.3%) followed by Cairo (22.4%). C3 and C4 were consumed in 74.6% of patients, proteinuria was present in 73.1% of patients , hematuria was present in 25.4% of patients. ANA was positive in 98.5% of patients at the time of diagnosis while antiDNA was positive in 85.1%. Conclusion: Juvenile systemic lupus erythematosus is not uncommon in Egypt with female predominance as known worldwide but younger age of onset of the disease. During COVID 19 pandemic follow up was limited due to fear of infection
The effect of (S.N.I.P.S) strategy on teaching methods on the performance of some technical gymnastics skills for female students
Get PDFThe education process in general is one of the most important educational processes that need proper scientific planning in order to reach its goals. Learning depends on the effectiveness of the teaching methods used in teaching motor skills for various sports and games. It was also noted that the traditional method, which makes the student a recipient and puts all the decisions of the lesson by the teacher, which is the most used method in teaching motor skills for various sports and games, and there is a clear omission of modern teaching methods in teaching physical education that focus on the role of the learner and his effective participation in the educational process. Where the research deals with the study of the use of the strategy (S.N.I.P.S) in the two teaching methods (reciprocal, training) in the performance of some artistic gymnastics skills for female students.
Evaluation of marginal bone loss in implant supported over-dentures: An original research
Get PDFAim: The purpose of the present research was to assess the marginal bone loss due to stresses encountered in implant supported over-dentures. Methodology: Tridimensional models were built from the images of a computerized tomography of a mandible and 3D laser digitalization of implants, abutments, mucosa, and complete denture. The geometric models of implants and abutments were mounted at the canine region to build reference model 1 - absence of bone resorption. To build the test models the mandible geometric solid was modified to simulate 2-mm vertical bone loss surrounding the implants (model 2) and resorption of the distal ridge (model 3). Finite elements models were generated, and a 100 N static load was applied at the first molar region of each model to compare the von Mises stress distributions in selected points. Results: Von Mises stresses increased on the bone surrounding implants and on the prosthetic components in the model with 2-mm vertical bone loss. The combination of 2-mm vertical bone loss and resorption of the distal ridge did not increase the stresses compared with the model with only bone loss surrounding implants.