With the growing population of cancer survivors, the concept of quality of life (QOL) has become important. Chemotherapy-induced peripheral neuropathy (CIPN) is one such common, ailing chronic condition characterized by tingling senstaion, pain and sometimes decreased function of hands and foot, which hampers the QOL of patients post chemotherapy treatment. A PubMed search for ‘chemotherapy-induced peripheral neuropathy’ was done. Despite the volume of recent publications, there are limited preventive or therapeutic strategies for CIPN supported by high-level evidence. Recently the effect of alternative non-pharmacological therapeutic approaches and predictive biomarkers have been explored.As CIPN still affects a mojrity of patients’, there is a need for critical analysis of the literature. The present study aimed to review the literature on chemotherapy-induced peripheral neuropathy and its treatment or other possible interventions.

Purpose: This study assesses the influence of four styles of instructional delivery on dental students‟ preference and perception of learning experience using lecture method in classroom setting. The association between gender, age, course level and the instructional method preference is also evaluated. Materials and Methods: A group of 98 undergraduate students belonging to the first three years of Bachelor of Dental Surgery (B.D.S) degree program participated in this study. Four instructional methods were used to deliver lectures on surgical techniques used in dental implantology: Chalk-talk method (CT), PowerPoint presentation with figures (PPTf), PowerPoint presentation with figures and dental models (PPTfm) and Videos-verbal elaboration (VT). Two structured questionnaires were used to record the response of the students towards the instructional method employed. Descriptive statistics and chi-square test were used. Results: Recorded students‟ response indicates that VT is an effective instructional delivery method to deliver subject content (99%), promote topic understanding (98%), promote future learning (99%), promote recollection (99%), promote integration of theoretical and practical knowledge (98%) and promote attentiveness (100%). The order of lecture methods preference is as follows: combination of instructional delivery methods (49%), VT (44.9%), PPTfm (5.1%), PPTf (1%) and CT (0%). As the course level increased, higher preference was given to combination of instructional delivery methods (PPtfm, PPTf, VT). There is statistically significant association between age and the method preferred (p=0.001). Conclusion: The dental students preferred the VT method, followed by the PPTf and PPTfm methods.

This study investigated the influence of Information Communication Technology (ICT) in teaching and learning Geography in selected tertiary institutions in Adamawa State, Nigeria. The study specifically sought to determine if Geography teachers in tertiary institutions are exposed to new technologies, establish whether new technologies are available for teaching Geography, investigate the extent of integration of these new technologies into teaching Geography and examine the factors that inhibit teachers from using new technologies in teaching Geography in selected tertiary institutions in Adamawa State. The study adopted a descriptive survey design and the population consisted of students of three tertiary institutions in Adamawa State. Three hundred respondents were selected using stratified random sampling technique. The instrument titled: „Information and Communication Technology in Teaching and Learning Geography Questionnaire‟ was validated by an expert in Guidance and Counselling from the Department of Science Education. The reliability value was calculated using Kudden Richardson formular (KR-21) which yielded reliability co-efficient of 0.87.

Planning and executing the restorative rehabilitation of a decimated occlusion is probably one of the most intellectually and technically demanding tasks facing a restorative dentist. The term "occlusal rehabilitation has been defined as the restoration of the functional integrity of the dental arches by the use of inlays, crowns, bridges and partial dentures". Occlusal rehabilitation therefore involves restoring the dentate or a partially dentate mouth. The aim is to provide an orderly pattern of occlusal contact and articulation that will optimize oral function, occlusal stability and esthetics. Occlusal adjustment by grinding may be required, as part of the rehabilitation but does not constitute rehabilitation per se. In this review occlusal rehabilitation is discussed in the context of cases where restorations are supported by natural teeth and doesn't include the restoration of the fully edentulous arch or maxillofacial defects, nor does it include the use of osseointegrated implants.

Background: Left ventricular (LV) thrombus is a complication of acute Myocardial Infarction (MI) and is associated with systemic thromboembolism. Although standard trans-thoracic echocardiogram (TTE) is commonly used for screening, it is limited by low sensitivity for detection of LV thrombus. Magnetic resonance imaging has a high yield in detection of these thrombi. Objective: To determine rate of detection of left ventricular thrombi on magnetic resonance cardiac viability studies. Design: Retrospective, observational. Setting: Department of Radiology at a Hospital in Dhahran from April 2013 to April 2018. Patients and Methods: All recently reperfused ST Segment Elevation MI (STEMI) patients who were referred for MR cardiac viability studies with negative TTE (for LV thrombi) were evaluated. Patients with limited or incomplete studies, previously known MI or cardiac surgeries, and those contraindicated to MRI were excluded. An area of low signal intensity with no late gadolinium enhancement (LGE) was defined as thrombus on MR imaging, and two radiologists made consensus reporting for the diagnoses. Patients with anterior or non-anterior wall MI were documented, and their ejection fractions were recorded. The percentage estimation for positive LV thrombi cases was made. Any complications (like stroke or death) that occurred within one year of diagnoses were documented. A Chi-square and t-test determined the association. Main Outcome Measures: Detection of LV thrombi. Sample size: 125 patients. Results: Of the 125 patients, most were men (71.2%) with a mean age of 56.78 years. Eleven patients had left ventricular thrombi (8.8%), and most of these were anterior wall infarctions with low ejection fractions (<40%). Three out of 11 patients with LV thrombi developed complications versus 3 out of 114 without LV thrombi. Conclusion: Cardiac MR viability studies can detect LV thrombi in recently reperfused echo-negative STEMI patients. Limitations: Retrospective, small sample, single center, use of non-contrast echocardiography

Background: Stress is a negative emotional, cognitive, behavioral and physiological process occurs as individual adjusts with stressors. Due to the secretion of this cortisol and epinephrine blood vessels are tightenedas a result heart rate and blood pressure increases. Present study aimed to asses the level of perceived stress and its association with Pre hypertension in health professional beginners. Material and Methods: A cross sectional study was conducted in the Department of Biochemistry, SBKS MI & RC, SVDU for consecutive two batches 2016-17 & 2017-18. Total 506 first year MBBS, BDS & BPT students were studied for age, gender and Blood Pressure. Stress was assessed by PSS-10 scale. Two groups were identified as their PSS score, stressed and non-stressed. Results: PSS score showed that among all participants 71.74% (N=363) students were stressed and 28.26% (N=143) students were none stressed. In the present study the mean systolic blood pressure and diastolic blood pressure of 506 health professionals was 125.63±3.35 and 76.96±5.65 respectively which falls under the category of pre hypertension. Conclusion: Majority of students could be categorized as pre-hypertensive group based on blood pressure.An effective inclusion and implementation of regular exercise, sports and cultural activities and stress management program like meditation, yoga in the medical curriculum may be a key to reducing and or preventing stress-induced psychological distress and Hyperteinsion

Soft tissue sarcomas (STS) are a rare a highly heterogeneous set of malignant mesenchymal neoplasms. Histological grading plays a central role in the assessment and management of patients with STS, since histological gradeis prognostic, contributes to clinical staging, and is also predictive of chemotherapy responses so drives clinical decisionmaking on the use of adjuvant chemotherapy. Here we review the main histopathological grading systems andthe main considerations for the practising pathologist when grading STS. We highlight that histological STS gradingis not without its limitations, not least in classifying 50% of tumours as of uncertain behaviour (grade 2). However, recent developments in molecular risk stratification hold promise for molecular grading of STS with the ultimate goal of personalising therapy based on molecular profiles.

Breast spindle cell lesions (BCSLs) are a highly heterogenous group of diseases that frequently challenge the diagnostic skills of even specialist breast pathologists. While a systematic morphological assessment remains central to narrowing the differential diagnosis, immunohistochemistry (IHC) is a valuable ancillary test that can help to either further narrow or confirm a diagnosis. However, BSCLs can also show a remarkable degree of intra-tumoural morphological and immunohistochemical heterogeneity, meaning that IHC is rarely either specific or sensitive for a particular lesion and that care must be taken when interpreting diagnostic core biopsies. IHC results must, therefore, always be interpreted with caution and in the context of the morphological features and wider clinicopathological findings.

The Cestodes, Echinococcus granulosusand Echinococcus multilocularis are the causative agents of hydatid disease. Dog is the definitive host while humans are accidental intermediate hosts. The liver and lungs are commonly affected though other exotic sites can also be uncommonly affected. This is of great clinical relevance because of the risk of anaphylaxis during inadvertent surgical exploration or other invasive procedures. Imaging and hydatid serology (Indirect Hemagglutination, Immunoelectrophoresis, ELISA and Western Blot) are the key to pre-operative diagnosis. We present a series of hydatid cysts presenting at unusual sites including kidney, parotid, and ovary and limb muscle. Hydatid cyst should be suspected in the differential diagnosis of any cystic lesion particularly in endemic areas.

This study aims to determine the effect of Free Cash Flow, Return on Assets, Debt to Total Assets and Level of Payments dividend to Stock Prices. This research use 8 samples of property, real estate, and building Construction Company listed on BEI year 2012-2015. The analysis technique used is panel data regression using three alternative model approach that is, Common Effect, Fixed Effect and Random Effect. Then for model selection used Chow Test Hausman Test model by t-statistic Test. The results of this study showed that the Free Cash Flow and dividend have positive but not significant effect on Stock Price while Debt to Total Asset have positive significant effect on Stock Price and Return On Asset have negative but not significant effect to Stock Price.

This article examines how Habermas‘s theory of communicative action provides insights for mediation processes and conflict resolution in general. It lays its assumptions that people in society are in relationship and that presuppositions of argumentation proposed by Habermas can assist direct focus on fundamental elements of conflict resolution. Kenya in the wake of the violently disputed presidential elections of 2007 is undergoing a transition period where both the perpetrators and the victims of the violence are seeking justice and reparation respectively. Inherent in the process is the emerging debate on reconciliation and retribution. The failure of International Criminal Court (ICC) to successfully prosecute the six suspects who had been indicted to face charges of criminal culpability in the post-election violence builds a case for alternative conflict resolution approaches. The paper adopts a methodology that discusses the mediation process through conceptual metaphors used in reference to ICC. A closer interpretation of the metaphors can assist the parties to prepare a resolution process that derives from Habermas ideas of the ‗conditions of communication‘. This paper proposes the use of these ideas to constrain abuses of their authority, and ultimately offer mediators a new opportunity to help re-establish positive relationships thereby contributing to the post-election violence transition debate in the postelection violent Kenyan society.

The dictionary meaning of the term ‘Education’ is the process of teaching or learning especially in a school or college or knowledge gained from a source of study. This being the case accepted and accredited learning centers around the world have formatted their own curriculum structures and methodologies to impart learning. However the most important question that needs to be answered here is whether or not this learning that students achieve in the learning centers are truly contributing effectively to them being placed in suitable positions. More often than not it has been noted that this is not the case. In a country like Oman where the process of education has of a sure certainty picked up its pace, the actual placement levels of the Omani graduates in suitable placements has not been really up-to the mark. This is because the gap between education and employability which is a continuing problem in Oman. This study aims at trying to find reasons why this is the case and what measures or methods need to be adopted to try change the existing scenario.

Allergic reactions raise the utmost concern to health care practitioners in all fields of expertise. Nickel allergy can be seen occasionally in orthodontic patients as nickel is a component of the majority of orthodontic alloys. The objective of this review was to discuss the prevalence of nickel hypersensitivity reactions, compare the nickel ion release during orthodontics treatment and possible alternative treatment options available for patients with a nickel allergy. Further prospective researches with large sample sizes are required to improve the quality of evidence.

Incthe present study, carried out on the Hammam Boughrara dam (impounded in 1999), a number of phosphorus balance models were applied, namely, Vollenweider (1969), Dillon and Rigler (1975), Walker (1977), Reckhow (1977) and Ostrofsky (1978) models. In order to take into account, the rate of gradual submergence of flooded surfaces which is ordinarily characterized by an important increase in the trophic status as a result of endogenous inputs of phosphorus by leaching we have tried to adapt the Ostrofsky model (1978) to the reality of studied dam, by adding a new dimension. The obtained results show that the proposed model seems relevant.

Since long there has been persistent controversy among Prosthodontists regarding the Camper’s line or Ala-tragus line which helps in establishing the occlusal plane in edentulous patients. Which posterior part of the tragus of ear has to be taken into consideration? It is the superior border of tragus or middle or Inferior border of tragus. Some authors postulate the usage of superior border whereas some postulate the usage of inferior border and very few postulate the usage of inferior border. To solve this controversy the present study was undertaken and we did cephalometric tracing on dentulous patients with different types of malocclusions and applied our results in the edentulous patients. Different Angle’s molar relation Class II, Class II and Class III were considered in the study there lateral cephalograms were obtained on which cephalometric tracings were performed and the parallelism of campers line was checked with the occlusal plane with all the three points i.e Superior, middle and Inferior border of tragus of ear. Result revealed that the line drawn from the inferior border was much more parallel to the occlusal plane of dentulous patient than the middle and superior borders.