Primitive malignant melanoma of the nasal cavity is a rare tumour of uncertain aetiology and bad prognosis. Unlike skin melanomas, there are no risk factors and the disease is frequently diagnosed in old patients, which clinical complaints are normally non-specific and ranges from nasal obstruction, rhinorrhoea to epistaxis. In most cases this disease is diagnosed in advanced stages which make the treatment difficult.

Objective: The aim of this study was to evaluate the changes in mandibular and maxillary third molars in cases treated with and without extraction. Materials and methods: Pre-treatment (T1) and post-treatment (T2) radiographs were taken of 46 subjects who had been treated without extraction and 44 subjects who had been treated with extraction of premolars. Results: The increase of eruption space and the improvement of the angular position of third molars were statistically significant between extraction and non-extraction orthodontic treatment, whereas, there was no statistically significant difference between first premolar extraction and second premolar extraction. Conclusion: Third molar impaction for orthodontic patients can be predicted before treatment according to the size of retro molar space and the type of treatment with or without premolar extraction.

The study was done to compare results of different imaging modalities Computed Tomography (CT scan) and Magnetic Resonance Imaging (MRI) with operative or histopathological diagnosis and to determine the accuracy of each. Forty patients with clinically or ultrasonographically diagnosed intraorbital masses were enrolled in the study who did not have any contraindication for contrast enhanced CT or MRI. A correct diagnosis was made in 37 patients and an incorrect diagnosis in 3 patients on CT scan while correct diagnosis was made on MRI in 38 patients and incorrect diagnosis was made in 2 patients. The clinical, surgical and histopathological findings were used as the gold standard for making a final diagnosis in these patients. There was an excellent agreement between CT and MRI in predicting extraorbital involvement, intracranial extension and optic nerve involvement. CT predicted bony involvement and areas of calcification better whereas MRI was better in predicting extraocular muscle involvement.

Background: The aim of this study is to assess the effectiveness of COVID-19 on quality of life of dentists at health care centers in Saudi Arabia. Material and Methods: This study was conducted for two weeks. Sample was selected randomly and included 300 dentists from different specialty. Questionnaire about demographic data and effect of Covid-19 on quality of life were used. Results: A total of 204 (68%) of dentists who replied was work in government sector. Their average age ranges from 20 years to 50 years and most of the dentist who answered the questionnaire (45%) work for more than 10 years of service. The second part about the effect of the virus on the quality of life most of them (93%) they feel their safety is in risk during working hours. 87% of the participant dentist they had a symptom of depression and anxiety and (70%) of them they worried about being a source of infection for their family. For the dentists who work in private sector (40%) of them afraid from lose their job and facing a financial problem. Conclusion: Regarding to the result we found that COVID-19 pandemic had a negative effect on quality of life for the dentist in both sector the government and private.

Dental restoration is nowadays becoming key dental treatments, especially use of the composites and replacement of missing teeth using dental fixed partial denture. These can provide temporary relief to the patient, but it had long term side-effects. This article presents case reports of defective composite restoration interdentally, defective cantilever bridge, defective amalgam restoration.

As Jawaharlal Nehru Medical College faced the unprecedented challenges of Covid 19, it had put its entire thrust towards providing optimal care to Covid19 patients, by modulating its existing health care system, and the heroes that work therein. Sixty health care staff that were questioned for their varied responses during this project, showed a commendable commitment despite facing some shortcomings and being busy in a totally new work culture. It was also noted during this project that the administration at Jawaharlal Nehru Medical College had committed itself to facing this new health challenge with a clinical resiliency from its junior/ senior doctors and a solid support of the nursing and technical health care staff, who answered the call whenever the hospital needed them.

The study aimed at determining the effectiveness of rape prevention education facilitated by a police officer and/or a school nurse at reducing rape myths acceptance, improving rape victim empathy, and reducing rape risk behaviors among school adolescents. Quasi-experimental design with repeated measures was used and it was conducted among 228 adolescents in three public high schools in Ile-Ife, Nigeria. The adolescents were grouped into: Control Group; Nurse Facilitated Group; and Nurse-Police Facilitated Group. Rape Discourse Education (RaDE) was conducted for the Nurse Facilitated Group and the Nurse-Police Facilitated Group and data collection was in four waves. Findings showed significant effect on rape myths acceptance (ηp2 = 0.12) more than on other outcome variables and the effect was observed up to a six-month follow-up. Implication for rape prevention education in the school setting is documented.

Objective: In this study our main goal is to evaluate the predictive factors and maternal and foetal outcome of breech delivery in Rangpur medical college hospital. Method: This prospective observational study was carried out at Rangpur medical college hospital. From July 2019-Deccember 2019 where 51 singleton uncomplicated breech presentation admitted for delivery were included in the study. Results: During the study, mean umbilical cord length in LSCS and vaginal delivery group was 55.3±3.8 cm and 56.2±3.7 cm respectively. Mean placental weight in breech deliveries in LUCS and vaginal delivery group was 645±132 gram and 599±212 respectively. Cornu-fundus position of placental localization was the commonest in both the groups. Regarding the fetal outcome, 42.1% neonates suffered birth asphyxia in vaginal group while 37.5% suffered same problem in LUCS group. Higher (62.5%) percentage of children was born in LUCS group without any complications compared to 52.6% in vaginal group. Higher percentage (42.1%) of neonates needed admission in vaginal delivery group than LUCS group (37.5%) for different complications. 87.5% of LUCS group and 57.8% in vaginal group did not suffer from any maternal complications during delivery. No mortality was reported. Conclusion: From our study we can conclude that, short umbilical cord length and increased placental weight may be the important predictive factors for breech presentation.

Suicide is a growing issue of teen agers around the globe and also commonly seen in context of Pakistan. On regular basis we read in news or hear from people about huge number of suicides in many parts of Pakistan. The paper is written on the account of witnessing a young mental health client in psychiatry in patient services at a tertiary care hospital. The case was a huge learning for young healthcare professionals and novice nurses.

Post-tracheostomy brachiocephalic arterial injury (TABC) is a rare complication. We report the case of a 62-year-old patient ho required invasive ventilation through an orotracheal tube for asthma. He had suddenly showed a cataclysmic hemorrhage externalizing around the tracheal cannula with bright red blood. The exploration had revealed a breach of two centimeters at the level of the TABC. Ulceration of TABC after tracheostomy despite its rarity is a fatal complication that must be known by the resuscitators.

Most important medicinal plant is use as source of food in the world. It is necessary to understand the detection as well as chemical activities and other biochemical activities of potential compounds in medicinal plants. Medicinal plants are used as a source of the medicinal because it contains proteins as well as carbohydrates and important minerals needed for the body. Medicinal plants also possess the several chemical compounds due to which major diseases have been treated with special treatment of medicinal plants as compared to their plants. The presence of antioxidants that are found in rich amount in the external part of medicinal plants also leads to the various benefits. Medicinal plants contain a variety of compounds that are principally active and work against the free radicals. Out of potentially active compounds in the medicinal plants, antioxidants are the most important of all the compounds. The presence of the compounds in the inner as well as the outer portion of the medicinal plants makes it make antioxidants against the free radicals. These are the flavonoids that are showing the overall activities in the medicinal plants responsible for the blockages of the free radicals.

Supernumerary teeth are any odontogenic structure that is found in the dental arch in excess number. They are classified based on quantity, location, morphology, and orientation. There is no internationally used numbering system for supernumerary teeth. In this article, the numbering system of the Oklahoma Health Care Authority will be used. 27-year-old medically fit Sudanese female presented to the emergency clinics in the College of Dentistry, King Saud University. After extraoral and intraoral examinations, two distomolars were discovered distal to #18 and #28. The prevalence of distomolars is rare. Most of the time they are an incidental finding. The etiology of supernumerary teeth remains unclear. The treatment options for supernumerary teeth vary greatly.

The psycho-social approach implemented in the line of this narrative puts into view, the author’s undertaking of analyzing the rapport of the institutions of representations and the institutions of technology. Within this respect, the involvement of verbal text, throughout Okpewho’s dynamic to redefine the basic stylistic effects and the distinctive nature of systems that determine the forms of knowledge displays parameters of interrogation pertaining to the reality of the individual, issues of creation, significance, memory and figure. Thus, by transgressing conventional perception of written text, Okpewho moves beyond unconscious perception to ingrain, a formal and substantial relation as it regards intellectual representation. The object and the search of figures of consciousness that underline the scope of Call Me By My Rightful Name constitutes a psychoanalytical method stressing on a realm of self-reconnection and re-appropriation. Then, through a material truth and an objective reality, Okpewho attempts to withdraw the written cultural system superimposed upon oral traditional cultures. Therefore, the purpose of this article becomes an analytic method within which the emphasis is put on the how the values of truth of the individual as regard its cultural, social and linguistic context determine the unity of the concrete reality of the cognitive psychology and social organization of the African primitive traditions.

Introduction: The pandemic of Coronavirus has not only affected the lives of humans, but it also affected health education and training programs. With the implementation of social distancing, all the classes in which there's face to face communication has stopped because of the COVID-19 pandemic. This study aimed to assess the perception and satisfaction of the online teaching in obstetrics and gynecology course in 2020 during the COVID-19 crisis. Methods: 92 students at King Saud University, Riyadh, Saudi Arabia have been involved in the study. We had two groups of students; first group took the lessons traditionally. The second group had taken the lessons via online methods. Results: There was a significant difference between the groups regarding satisfaction about e-learning, score and resource availability. Being more satisfied in groups who had online teaching was more than the other group. It was noted no difference in skills or performance between students of e-learning and those of traditional learning groups. However, students from different groups showed different impressions about the enjoyability of sessions, considering e-learning as a tool for future learning, limitation of student-teacher interaction during the course. Conclusion: E-learning had a significant positive impact on society during the Covid-19 pandemic, and future study systems may change radically accordingly.

This case report highlights the efficacy of Therapeutic Plasma Exchange in managing the post envenomation TMA, because Post snake bite renal failure due to thrombotic microangiopathy (TMA) is often overlooked and not considered as a separate entity while managing the patient.