Background: In the 21st century dentistry has not only reached an epitome of great inventions but also has established a great milestone in achieving efficiency, efficacy and technological advancement. Technology has not only helped dentistry to grow in its value but also has encouraged the dentists to introduce less traumatic procedures. The course of periodontal disease is obvious by the sporadic and intermittent pattern of disease activity and inactivity showing random or alternate exacerbation and remission. Although microbes were considered to be the primary etiology, they were insufficient to cause a disease all by themselves, environmental, systemic and host response were also a part of the etiotrophic factors. Hence, to understand these complexities various assessment tools and advanced diagnostic aids were developed and introduced in practice. The various chair side diagnostic aids include Advanced Periodontal probes, Advanced radiographic diagnosis, Advanced microbial analysis, advanced immunodiagnostic techniques and molecular biological assays, Advanced biomarker identification and genetic testing and Advanced Chair side diagnostic kits. This manuscript reviews the advancement in the recent chair side diagnostic kits which are frequently studied and relied upon.

The lips represent an important role in social life as they are used to ease phonetic articulation, complement the aesthetical structure of the face and, they serve as a means of giving nutrients to the body. In certain cultures, they are crucial external signs of femininity and serve different purposes. Given the complex functions of these structures, reconstruction of labial defects presents a challenge for plastic surgeons not only in the management of tumor pathologies, but also in cases of emergency post-traumatic amputations. In the present study, we shall describe a case of labial reconstruction using a tongue flap after a post-traumatic loss of tissue in the vermilion border. The surgical reconstruction technique will be discussed and then, we will present an overview of the constraints related to the treatment of the flap and finally the initial outcome of the procedures.

All acneiform eruptions are not acne vulgaris. Some acneiform eruptions can be caused by fungal organisms that are usually not resolved with standard acne medications. Demodex is a skin mite, taking advantage of local and general factors to proliferate. They are ubiquitous in the skin but there is a predilection for the face. The diagnosis of demodicosis is based on a range of clinical, parasitological and therapeutic arguments. Screening for Demodex sp is essential to establish the correct diagnosis and ensure suitable treatment.

Price distortion caused by taxes, duties, or subsidies distorts the consumption of various goods and services. When prices become misleading they produce wastage and provide little or no incentive for conservation. Electricity tariffs are subsidized in Gulf countries due to socioeconomic and political reasons but with ongoing petrol prices and the Covid-19 situation, Oman is slowly moving toward removing subsidies. According to the economic theory of efficient pricing, the prices of goods should be set equal to their marginal cost of production. The purpose of this paper is to provide a methodology to estimate long-run marginal cost (LRMC) at the generation level using a traditional generation expansion planning software. The approach is then applied to find LRMC for Oman’s Main Interconnected System (MIS). The LRMC at the level of generation busbar is then taken down to 132-kV, 33-kV, 11-kV, and 415-V. The LRMC calculation has shown that the power sector is highly subsidized.

Basal cell carcinoma is the most common human cancer worldwide. It‘s an epithelial cancer developed from epidermal tissue, happening most frequently from novo, localized only to the skin, with local malignancy. His prognosis is relatively good but premature management, in effect surgical excision is necessary, given its significant potential tissue destruction leading to high morbidity. Numerous clinical and histological types are reported, specifically tattooed or pigmented basal cell carcinoma which poses the differential diagnosis problem with melanoma. Here we report a case of Basal cell carcinoma of the face, inadequately treated for long time, noticed at an advanced stage.

Within the changing environment local community tried their best to reduce climate extremes vulnerability by implementing different adaptive practices. Hence, the aim of this study was to examine the vulnerability of smallholder farmers to climate variability namely, flood and drought in South Ari district. To gather reliable data, five kebeles were selected from the district using simple random sampling technique. 363 household heads were selected using a systematic sampling method from the five selected kebeles. Besides, primary data was collected from focused group discussions, key informants, and field observations. The linear trend analysis showed an increasing trend of rainfall and temperature in the study site. Integrated vulnerability analysis approach result showed that the three Weyina dega sub-agro ecology zones of the district are vulnerable to climate variability in different ways. Farmland enclosure with trees and growing two different crops on the same plot of farmland at the same season are the new adaptive practices implemented by the local community to reduce soil erosion. The chi-square test result shows that age, level of education, income diversity, number of contacts with developmental agents and access to climate information have a significant relation with the adaptation practices implementation in the study site.

Antimicrobial resistance is a major public health problem all over the globe. A cross sectional study in different zones of Hyderabad city was conducted with the aim of evaluating community pharmacists’ knowledge, attitude and practice (KAP) on antibiotics and antibiotic resistance. A self-administered questionnaire was developed as data collection tool. Responses were recorded and scored using 5-Point Likert Scale. Descriptive statistics, frequencies, percentages and statistical tests were used to analyse the data. Data was collected from 40 community pharmacists. Results showed that the community pharmacist had poor knowledge on antibiotics and poor antibiotic dispensing practice. About 31(78%) pharmacists never heard about the term antimicrobial resistance. Our study highlighted that there were only 15 pharmacists who considered antimicrobial resistance as a serious issue. Most of the pharmacists (n=20) agreed that antibiotics can be dispensed without prescription. Around 26 pharmacists dispense antibiotics to treat minor ailments without a prescription. The most common reason given by community pharmacists for dispensing antibiotics without prescription was, request for antibiotics by the patients. The study highlights that there is a need for the community pharmacists to update their knowledge and improve their awareness on antibiotic resistance. Short term, intensive training programs are needed to improve their knowledge and practice regarding antibiotic use and resistance.

Background: Prostate cancer (PCa) is one of the most commonly diagnosed cancers in Nigerian men and worldwide. Some comorbidities, such as hypertension, diabetes mellitus, and cardiovascular diseases, have been investigated as potential risks for developing PCa. Hypertension and Type2 diabetes mellitus (DM) are common in the middle-aged and elderly and could be a problem during treatment. Aims and Objectives: This study highlights prostate cancer-associated comorbidities and describes the relationship between Type 2 Diabetes Mellitus and hypertension with prostate cancer among southern Nigerian men. Materials and Methods: This was a 10-year retrospective study on all patients with histologically confirmed prostate cancer at the University of Port Harcourt and two private Urology Hospitals. The case records of the patients were retrieved, and their age, prostate-specific antigen levels, Gleason grade, comorbidities, and treatment received were analyzed. Patients with incomplete data were excluded from the study. The data were collated using Microsoft excel 2020 and analyzed using SPSS Version 20. Results: There were a hundred and fifty-two patients with histologically confirmed PCa. Sixty-four were reported with Gleason scores. Fifty-four (35.5%) of the patients had no associated comorbidity. Hypertension was the commonest associated comorbidity observed in sixty-one (40.1%) patients, followed by Type 2 Diabetes Mellitus in nineteen (12.5%). The poorly differentiated cancers were commonest among the patients with hypertension, Type 2 DM, and patients with both DM and hypertension. There was no association between Type 2 DM, hypertension, and Gleason’s score. Conclusion: Diabetes and hypertension are the most frequent comorbidities associated with Prostate cancer in our patients. There was no statistically significant association between Type 2 DM and hypertension with prostate cancer and Gleason’s score.

The impact of advertisement on financial performance of a company is manifold and it plays as a leverage to increase net sales which have created positive effect on profit. The present study tries to examine how advertisement expenditure affects the variables like net sales of the product, retained earnings, earnings per share and profit after tax by a representative study on Maruti Suzuki India Limited from 2009-10 to 2019-20. It is seen that all the variables have a positive correlation with advertisement which implies that cost of advertisement have a causal relationship with the variables. It is found that advertisement expenses of the company have motivated the target customers’ buying behavior and is reflected through the increase in net sales and profits of the product over a period of time.

Medicinal plants have been used with practical implementation of certain herbal great source of plant based flavonoids, antioxidants compounds. Medicinal plants were traditionally used for health care and serve as the bases for the emergence of modern medicine. They have possess the high quality of the extracts to evaluate their therapeutic efficacy for their pharmacological action. Large variety of medicinal plants have been used as aromatic purposes and hence valuate for aroma and pharmacological sectors. Medicinal plants snowed stronger binding to the proteins secreted by the parasitic worms thus inhibiting them to proliferate in the cellular tissues thus acting as main source of immunity booster to the living tissues against the dyspepsia, gastritis, hyperacidity, menorrhagia, diabetes. Saraca asoca also used as source of medicinal pant due to its to antibacterial activity because of its potential against the of multiple bacterial strains. Some of the medicinal plants acting as dual nature such as targeting the microbial proteins and peptides playing important role in the development of natural therapies. Nanoparticles based therapies can be utilized for treatment of infectious diseases.

Power systems deliver energy to loads that perform a function in such a way that no barrier of electrical conductivity occurs. The energy productions through nanotechnology based systems are much efficient. They are manufactured through laser ablation and vapor deposition methods. The use of graphene is effective for lading the energy systems as it posses the physical characteristics such as electron mobility, high conductivity. Solar cells that transform the energy coming from the sun into the electrical form as photovoltaic influence greatly infused to this process. Capacitor with combinations of nanotubes also designed that increase the electrode surface area and thus the amount of energy. Nanotechnology technique can be used to produce cheap and high efficient solar cells. Nanocapacitors also working on the basis of the physiochemical properties of both the electrode and the electrolyte materials. Nanotechnology can be utilized in the productions of various electrical and commercial appliances.

The Niger Delta in the Southern part of Nigeria had been captioned ‘a region of environmental degradation’ including carbon monoxide (CO) pollution in the World Bank study of the region in 1995 and in the UNEP Environmental assessment of Ogoniland in 2011. The objective of the study was to ascertain the sources of CO production in the Niger Delta, the availability of Nigerian national guidelines on CO pollution, Nigerian national and regional register of CO poisoning and air quality check for CO in the region. A mixed method study (observational-descriptive and systemic review was carried out. Sources of CO production were visited, guidelines on environmental protection, CO and its register and data on daily air monitoring were looked for in Rivers State and the Nigerian Federal Ministries of Environment, Health and Justice. The result showed that there were no guidelines on environmental protection against CO pollution, no register of its poisoning and no monitoring of its ambient and indoor air concentrations in the Niger Delta. Sources of its pollution were tobacco fumes, generator, firewood, kerosene, bush and refuse burning, fire out-brake, barbecues, burning of fossil fuels in old vehicles, crude oil and gas industry (three refineries, oil wells, flow stations and gas flaring, crude oil and condensate spills, vapours from crude and refined oil storage, processing and transportation facilities, petrochemical plants and gas liquefaction plants). In conclusion the Niger Delta was plagued with numerous sources of CO emission and ineffective environmental protection laws. There was therefore urgent need for revival of regional and national environmental laws, maintenance of registers for CO poisoning and conduct of daily air quality check for CO and other gases in the Niger Delta and in Nigeria at large.

Over recent years there is a huge growth in the area of wireless networks due to its efficient design. The word sensor is defined as component which handles & monitor different kinds of inputs from different sources such as physical and environmental conditions like pressure, heat, light, sound and vibrations etc. The output produced by the sensor will be electrical in nature and this electrical signal is further applied to various controllers for other functions. A Wireless Sensor Network is basically a form of ad-hoc network which consists of thousands of tiny sensor nodes. These wireless networks are deployed where the wired network implementation is difficult or impossible. These nodes are further distributed over a wide area such as hilly areas, forests, deserts, ocean etc. and these tiny sensors communicate or exchange data with each other by using radio signals. The WSN utilizes various communication protocols like Bluetooth, Wi-Fi, Zigbee and Ultra Wide Band techniques. Every protocol has its own speed and depending upon the distance between them, there are various problems which network can face like battery failure, effective coverage area, and effective energy utilization or node failure. In this paper, the several different methods to build energy efficient network, methods to improve the lifetime of a network, method for detection and correction of node failure and in the last the important applications are discussed.

Researchers in recent years are working on different approaches to the problem of bacteria resistant to antibiotics through drug modification. The synthesis of metal drug complexes are becoming more popular than their parent drugs because they possess modified pharmacological, toxicological and physiochemical properties. In this study, amoxicillin complexes of copper and zinc (II) ions were synthesized using standard method. The complexes were characterized for aqueous solubility, UV-visible spectral, acid stability, and thermal stability and in-vitro antimicrobial activities. The results of the physiochemical properties showed evidence of complex formation between the metals and the ligand. The acid and thermal stability of amoxicillin complexes showed high acid and thermal stability than its parent form. In-vitro antimicrobial activity of amoxicillin and its complexes form were studied against Staphylococcus aureus and Pseudomonas aeruginosa. The results revealed that Amoxicillin complexes of copper (II) ions showed effective antibacterial effect on Staphylococcus aureus than its pure form while Amoxicillin Zn2+ showed lower antibacterial activity when compared to its parent drug. This study suggests that transition metal complexes of amoxicillin modify the properties of the parent drug.

Activated carbons were prepared from jute stick by chemical activation using ZnCl2, H3PO4, and H2SO4. The influence of activating agents and carbonization temperatures ranging from 300oC ~ 350oC were studied. The properties of the carbons were characterized by iodine adsorption and the Fourier-transform infrared spectroscopy (FT-IR) method. The results of iodine tests showed resemblance close to the values found in literature 500~1200 (mg/g). FTIR results revealed the existence of O-H, C=O, C=C, C-O and C-H bonds.