Surgical Sutures: The Necessary Update of Current Knowledge- Juniper Publishers

JUNIPER PUBLISHERS-Open Access Journal of Surgery

Surgical Sutures: The Necessary Update of Current Knowledge

Authored by Irami Araujo Filho,

To describe the physical characteristics and biological of the wires of more suture used in surgical practice daily and their indications. Review was conducted of literature through to search in the databases Pubmed, Embase, Web of Science and Scopus. Were described data on the qualities of the ideal suture, general classification and descriptive, criteria for use and the physical and biological characteristics of absorbable sutures, wires, monofilaments and multifilamentary. It was possible to synthesize the current knowledge there spect of strands of suture, to be used by students of medicine, surgery residents, surgeons and its sub specialties.

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Relationship between Severe Periodontitis and Metabolic Syndrome-Juniper Publishers

JUNIPER PUBLISHERS-Advances in Dentistry & Oral Health

Relationship between Severe Periodontitis and Metabolic Syndrome

Authored by Israel Antonio Juarez Membreno,

The relationship between Periodontitis and Metabolic Syndrome (MS) has been investigated in recent years demonstrating an association between both conditions and in the presence of two or more components of the metabolic syndrome. Currently it is postulated that there may also be an association between conditions of severe periodontitis and the components of the metabolic syndrome and is a field of investigation to deepen through future research. The relationship between periodontitis and metabolic syndrome has been studied in recent years showing that there is an association between both conditions, and it is even postulated that MS increases the risk of periodontitis independent of other factors. Research indicates that in addition to increasing the risk of periodontitis, people should be encouraged to undergo a periodontal examination. At this point the conditions of severe periodontitis can have a relevant association with two or three components of the metabolic syndrome and it is still a research aspect to be deepened.

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Liquid - Liquid Equilibria of Methanol + Toluene + Hexane Ternary System at 278.15, 283.15, 288.15 and 293.15K-RECENT ADVANCES IN PETROCHEMICAL SCIENCE-JUNIPER PUBLISHERS

JUNIPER PUBLISHERS-Recent Advances in Petrochemical Science

Liquid - Liquid Equilibria of Methanol + Toluene + Hexane Ternary System at 278.15, 283.15, 288.15 and 293.15K

Authored by Monica B Gramajo,

Liquid-liquid equilibria of methanol + ethylbenzene + methylcyclohexane ternary system at 278.15, 283.15, and 293.15K are reported. The effect of the temperature on liquid-liquid equilibrium is discussed. All chemicals were quantified by gas chromatography using a thermal conductivity detector. Experimental data for the ternary system are compared with values calculated by the NRTL and UNIQUAC equations. It is found that the UNIQUAC equation fitted to the experimental data is more accurate than the NRTL model for this ternary system. There are increasing demands for use oxygenated compounds to produce reformulated gasoline. For this reason, we are studying the phase equilibrium of systems containing hydrocarbons and oxygenated compounds. Within the oxygenated compounds, ethers and alcohols are the most important, and among these, methanol is receiving much current attention [1-6]. Methanol presents partial miscibility with aliphatic hydrocarbons, but not with aromatic hydrocarbons. Therefore, it is of great importance to study systems composed by methanol and representative hydrocarbon of gasoline, establishing the concentration ranges and the temperature of hydrocarbons and methanol in which the two-phase region does not exist.

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The Stupidity of Irrelevance-Intellectual & Developmental Disabilities-Juniper Publishers

JUNIPER PUBLISHERS-The Stupidity of Irrelevance

The Stupidity of Irrelevance

Authored by James F Welles,

The process of adapting institutions to new purposes is a normal part of cultural life. Generally, people are disposed to use whatever is at hand (be it a tool, organization or idea) to deal with a problem. This approach may be effective in resolving an immediate problem, but it means that the item may come to have a function different from if not at odds with its original role. The resulting cognitive state may then become one of schematic dissonance, with language strained to match up altered behavior to established values. In the extreme, a system becomes irrelevant to not only the environment but itself. As in the case of cognitive dissonance in an individual, tension may occasionally motivate society to achieve consonance. In both cases, the schema will act to save itself, so if challenging data, disturbing perceptions or criticism cannot be ignored or rejected, words will be redefined so as to convert dissonance into confusion. The discrepancy between behavior and superego values may thus be reduced at the expense of identity, clarity and accuracy. While an appearance of continuity with the past is maintained, words are revalued to lend verbal support to prevailing behavioral norms and public image.

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Extracted Tooth: Can it be A Bone Graft Substitute?-Juniper Publishers

JUNIPER PUBLISHERS-Open Access Journal of Dentistry & Oral Health

Extracted Tooth: Can it be A Bone Graft Substitute?

Authored by In-Woong Um

This article introduces the use of Demineralized Dentin Matrix (DDM) scaffold, which are fabricated from the patient’s own extracted tooth to repair the alveolar bone defect under the view point of clinical implant dentistry. DDM is natural collagen based scaffold with similar organic and inorganic component of autogenous bone. The possibilities of DDM as bone graft substitute are compared to well-known demineralized bone matrix (DBM) which has a little limitations. Based on in vitro and in vivo studies on DDM, clinical applications of DDM as three dimensional scaffolds for alveolar bone regeneration have shown predictability as well as possibilities of future advancement to the carrier of growth factors and stem cells.

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A Case of Vitamin D Toxicity-Novel Approaches in Drug Designing & Development-Juniper Publishers

JUNIPER PUBLISHERS-Novel Approaches in Drug Designing & Development

A Case of Vitamin D Toxicity

Authored by Joseph L Borowit

An eighty four year old Caucasian male started taking glucosamine for joint health two years previously. He failed to notice that the glucosamine tablets also contained large doses of cholecalciferol, a precursor of vitamin D. According to the label on the container, two tablets each having five times the recommended daily amount (RDA) were to be taken every day. This was in addition to the vitamin D taken in milk at breakfast, and that in half gram calcium tablets taken twice daily and also vitamin D in a multiple vitamin preparation. All together this added up to 6000 international units (IU) of the vitamin taken each day. The RDA for older people is 800 IU. So he was taking 7.5 times the RDA of vitamin D for over a year. When he discovered the overdose, he stopped taking vitamin D except for milk at breakfast. Symptoms noted during vitamin D intoxication were mostly central nervous system effects (nervousness, insomnia, irritability, clumsiness) not uncommon in an eighty four year old man. These symptoms persisted for several months even after cessation of vitamin D overdose but gradually decreased in intensity. Submandibular pain also occurred but went away after correcting the overdose. Arthritis also occurred in the knee joints but this did not abate after cessation of the overdose. Reversible Parkinsonism is also seen in vitamin D intoxication. Some increase in tremor was evident in the patient during the overdose but the tremor gradually became less intense with increased time without the vitamin supplement.

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The Case Study of Gestational Diabetes Mellitus (GDM) Underwent Elective Lower Segment Caesarean Section-Juniper Publishers-Global Journal Of Reproductive Medicine

JUNIPER PUBLISHERS-Global Journal of Reproductive Medicine

The Case Study of Gestational Diabetes Mellitus (GDM) Underwent Elective Lower Segment Caesarean Section

Authored by Shaheena Salman A,

This case study is written for Family Health Practitioners and Nurse Case managers. To add, reflective critical analysis, frameworks, exploration of advanced role of case manager, ethical and professional issues which contribute enhancing the health and care needs, reflection on roles and responsibilities in relation to interdisciplinary teams is discussed in the report. It is to revitalize health systems in under-developed countries based on the tenets of the Alma Ata Declaration of Health Care, presented by the World Health Organization remains essential for attaining the maternal and child health related Millennium Development Goals (MGDs). Ehiri [1] informed that MGDs have a target date of 2015 and synthesize many of the commitments made in achieving that target. Reproductive health advocates have argued that MGDs require full implementation of the 'Program of action' for both the well-being of maternal and child through task forces. For this, Case Manager's role is pivotal where the right service for the right patient from admission to discharge is followed. Frater & Leonard [2] deliberated case management stages and informed that the first step focuses on identifying clients and obtaining consent for managing the care and uplifting their existing health care needs. Also, consent was obtained for publication from the vulnerable high risk pregnant patient.

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Evaluation of the Incorporation of Sheep Manure on Pasture Panicum Maximum Cv Tanzania in a Silvopastoral System-Juniper Publishers

JUNIPER PUBLISHERS-Journal of Dairy & Veterinary Sciences

Evaluation of the Incorporation of Sheep Manure on Pasture Panicum Maximum Cv Tanzania in a Silvopastoral System

Authored by Esau Perez Luna

The objective of the study was to evaluate the effect of sheep manure production and nutritive value of Panicum maximum cv. Tanzania was included in a silvopastoral system (SPS). Applied a design completely random, using three treatments: T1 = Control T2 = this consists in the addition of 4kg sheep manure and T3 = this consists with the incorporation of 8 kg sheep manure with three replicates per treatment. The Biomass according to production of green matter (GM) and dry matter (DM) was evaluated. So also we evaluated the relationship of leaf-steam and the contribution of organic matter (OM), crude protein (CP) and neutral detergent fiber (NDF) of Panicum maximum cv. Tanzania to 112 days after its sowing. The results showed no statistically significant differences between treatments for the variables that were evaluated. The incorporation of sheep manure no significant change to the evaluated variables corresponding to production of GM and DM, the relationship of leaf-steam, content of OM, CP and NDF; however, the amount of manure that is recommended to pasture of Tanzania is 40t/ha due to there was a positive trend in CP content and relationship of leaf-steam.

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JUNIPER PUBLISHERS- Journal of Gynecology and Women’s Health

Women's Health; Overcoming the Challenges of Ensuring a Healthy Status as a Professional Woman, Wife and Mother

Authored by Terhemen Kasso

Health is Wealth ! And a healthy woman is the bedrock of the society; women are central to healthy families, and ultimately healthy communities. Losing a mother in childbirth deprives a family of income and any surviving children of nutrition and education. Overcoming the challenges of ensuring a healthy status while combining a career with raising a family is discussed in this treatise. Mental and social health are often overlooked while physical health is relegated to the background except when symptoms ensue. The ability to have a state of complete physical, mental and social well-being cannot be over emphasized. This treatise highlights tips on how to achieve this status.

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Ground Water Quality Index of Growing Smart City of Vadodara-Juniper Publishers

JUNIPER PUBLISHERS- International Journal of Environmental Sciences & Natural Resources 

Ground Water Quality Index of Growing Smart City of Vadodara

Authored by Bablu Prasad

In current investigation ground water quality were monitored and assessed along the urban area of Vadodara including Gorwa, Nizampura, Harni, Gotri, Sayajiganj, Fatehgunj, Ajwa Road, Tandelja, Lal Baug, Makarpura and Tarsali monitoring station. Electrical conductivity, TDS, turbidity and alkalinity were found to be higher as compared to BIS standards of drinking water due to presence of ions such as Na+, K+, Ca2+, Mg2+, PO43-, SO42, NO3- and Cl-. Ground water quality index (GWQI) was calculated on the basis of BIS standards of drinking water specification. The calculated GWQI for these sampling stations ranges from 41 to 193 with a mean values 100. Based on GWQI, most the ground water samples have been included in good water to poor water category. GWQI analyses showed better ground water quality in the monitoring stations located in the underdevelopment area of the city than those stations located in the developed area. These results evidently indicated the use of water filtration or/and treatment before consumption of ground water of Vadodara city and it is also needs to be protected from contamination.

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A TEST FOR COSTS SUB ADDITIVITY IN THE FISHERY SECTOR- Juniper Publishers

JUNIPER PUBLISHERS- Open Access Journal of OCEANOGRAPHY & FISHERIES

A TEST FOR COSTS SUB ADDITIVITY IN THE FISHERY SECTOR

Authored by Laura Onofri

The seminal work by Baumol et al. has highlighted the importance of analyzing firms' costs structure. This allows to design proper policy measures and to understand the impacts of those policies in markets. The note presents an original method and an application for testing costs subadditivity in the fishery sector, by using a system of supply functions under strict conditions and assumptions. The method is practical, though robust, and can be appied in the absence of detailed data on costs structures. Under stringent hypothesis (that delimit the application) they can be inferred from the supply functions. Subadditivity in costs, in fact, is a more proper economic definition (and methodological approach) than traditional economies of scale in fishery. The latter, in fact, does not depend from the vessel technology, but on the degree of quantity and variety of fish species in the ocean.

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JUNIPER PUBLISHERS- Journal of Gynecology and Women’s Health

Medicine's "Future": Pilot Data from a US Sample Shows Surgeons More Likely to Encourage Children to Pursue Medicine

Authored by Irene Dimitriadis

Objective: A survey was conducted to ascertain knowledge on when doctors start having children and the likelihood of them encouraging their children to follow in their footsteps.

Methods

Design: Nationwide electronic survey (4/18/2013-7/18/2013), cross-sectional study

Setting: USA

Participants/Interventions: Physician recipients of a survey titled "Knowing what you know, would you encourage your children to become physicians?”, with active affiliations to ACGME accredited residency programs

Statistics: Chi-square test, used as appropriate. P<0.05, considered statistically significant. All data analysis was performed using SAS v9.3 (SAS Institute, Cary, North Carolina).

Results: Of 801 responses received, 85.2%, 60% and 30.3% of attendings, fellows and residents have children, respectively. Male residents are more likely to have children than females (42.2% vs 20.2%, p<0.0001). This gender difference vanished among attendings and fellows.

Across all training levels, surgical specialties are more likely to encourage their children to become physicians compared to non-surgical specialties (64.3% vs 45.5%; p<0.0001, respectively). Amongst physicians with sons and daughters, 21.2% of responders report a gender bias in regards to encouraging their children to become doctors, of which almost twice as many parents report that they would encourage their son compared to their daughter to pursue medicine (14% vs 7.2%, p=0.08).

Over 80% of physicians who would encourage their children to go into medicine would encourage them to pursue their specialty.

Conclusion: Surgical specialties are more likely to encourage their children to follow in their footsteps.

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JUNIPER PUBLISHERS- Journal of Forensic Sciences & Criminal Investigation

Active Search for Perpetrators of Most Serious Criminal Offences - the Croatian Model

Authored by Ksenija Butorac

Number of cases in which search for perpetrators is conducted is on the rise. Conditions in which borders are open and free flow of people, goods and capital is allowed are favored by fugitives. They keep up with the times and keep track of new developments in technology. This requires adaptation of work methodology of competent services whose search for the perpetrators of criminal offences represents one of their fundamental obligations. When doing so, it is necessary to acquire new knowledge and develop tactical, technical and human capacities in a timely matter. Croatian police follows current trends and is on a good path to satisfy actual needs and to achieve maximum success in the area of active search for perpetrators of most serious criminal offences. The Fugitives Unit was founded in 2008 - a unit dedicated to search for fugitives and which operates within the Police National Office for Suppression of Corruption and Organized Crime. Since 2012, the SIReNE Section has been operational within the International Police Cooperation Service of the Criminal Police Directorate as the central point for searches in cases where the SIS II System is used. Since 27th June 2017, all searches in the second-generation Schengen Information System (SIS. II) of the Schengen Area member countries have been available to the Republic of Croatia. Since that day Croatian authorities have also had the possibility of issuing their own searches within the SIS II System. Complementary work of the Fugitives Unit and the SIReNE Section created the preconditions for quality and coordinated proceedings when undertaking measures for fugitive active search.

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JUNIPER PUBLISHERS- JOJ Nursing & Health Care

Nurses as Role Models in Disease Prevention

Authored by Dirk Nelson

The number of citizens in the United States over 65 years of age is anticipated to more than double during the next 25 years (at that time there will be approximately 75,000,000 Americans over the age of 65; this will represent over 20% of the population). This “graying of America” will elicit profound opportunities and challenges. Life expectancy in developed countries like the United States currently ranges from 76 to 80 years. With an aging population, there is a concomitant increase in chronic diseases, disabilities, injuries, health care costs and concerns for caregivers. Approximately 80 percent of all seniors have at least one chronic condition and 50 percent have at least two (Centers for Disease Control and Prevention). However, life expectancy is not necessarily synonymous with living better. esults of literally thousands of studies indicate that simple lifestyle changes can maintain, slow down and may even reverse physical declines related to the aging process. While there are no guarantees, heart disease, cancers, Alzheimer’s disease, stroke, diabetes, osteoporosis, and depression may be managed and/or even prevented via one’s lifestyle. These phenomena (along with others) can create a great deal of angst for not only individuals, but their significant others as well. The Centers for Disease Control and Prevention has reported that one’s health need not inevitably decline due to aging. The reality is that anyone can improve his/her wellbeing by adopting healthy lifestyle behaviors. 

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