Ultrasound, Dacryocystorhinography and Morphological Examination of Normal Eye and Lacrimal Apparatus of the Donkey (Equus asinus)

The study investigated normal macromorphological and ultrasonographic features of the eye and lacrimal gland, as well as normal dacryocystorhinography of the donkey (Equus asinus) in Egypt. A total of 36 donkeys of different ages, weights, and sexes were included in the study: 21 live animals for ultrasonography and dacryocystorhinography, and 15 cadaver skulls for morphological anatomy of the lacrimal apparatus. The ultrasound biometric values of the eye were 33.7 ± 1.7 mm for axial globe length (AGL), 39.8 ± 2.1 mm for globe diameter (GD), 10.8 ± 0.7 mm for lens thickness (LT), 3.2 ± 0.7 mm for anterior chamber depth (ACD), and 19.3 ± 1.6 mm for vitreous chamber depth (VCD). The lacrimal gland was recognized as a hypoechogenic structure with an anechoic core, located at the dorsolateral aspect of the orbit, and ovoid in shape. The mean NLD length was 193.0 ± 9.8 mm by radiography and 206.0 ± 20.4 mm by gross assessment. One NL orifice (NLO) was noticed on each side, with a diameter of 3.0 ± 0.1 mm and located 12.1 ± 2.1 mm from the dorsal commissure of the nostril. These results may act as the baseline for proper management of conditions of the eye and lacrimal apparatus in the donkey in the future.

Ureteric Rupture: Rare Complication of Inappropriate Urinary Bladder Catheterization

We have reported case of 71-year-old male with acute urinary retention due to gross prostatomegaly. Due to inappropriate catheterization, urinary bladder remained distended and ultimately caused left ureteric rupture. This article is peculiar as it shows that misplaced Foley's catheter may also lead to exceedingly rare complication of ureteric rupture and highlights importance of proper management of difficult catheterization which is otherwise considered a simple procedure.

Kebijakan UMKM Nuriza Snack dalam Meningkatkan Produktivitas, Efisiensi, dan Pendapatannya

The company will be very dependent on proper management management. Productivity, efficiency, and income are characteristics of companies that can advance and develop every period.Various policies are also carried out to overcome existing problems or to prevent the occurrence of these problems.The company also began to identify business processes in order to manage each part in detail.In the current pandemic era, companies will continue to strive to minimize the occurrence of problems that can hamper productivity performance, efficiency and revenue.The existence of evaluation will also be the basis for determining every policy set, from which the company is expected to be able to carry out all kinds of policies consistently, so as to minimize the existence of problems. Keywords: Management, Policy, Evaluation.

DRESS/DIHS syndrome induced by sulfasalazine

Among the manifestations of drug hypersensitivity, DRESS/DIHS syndrome is of particular importance. The clinical manifestations include rash, enlarged lymph nodes, fever, hepatitis, leukocytosis with eosinophilia, as well as the involvement of other organs and systems. The most common causative agents include anticonvulsants, antidepressants, sulfanilamides, non-steroidal anti-inflammatory drugs, and allopurinol, but the list is constantly expanding. The exact pathogenesis of DRESS/DIHS syndrome is currently unclear. Timely diagnosis and adequate therapy can improve prognosis of this disease. In our clinical case, DRESS syndrome developed after the patient was administered sulfasalazine for erosive proctosigmoiditis. In order to ensure adequate prevention, early diagnosis, and proper management of DRESS syndrome, it is necessary to raise awareness of practitioners of different specialties about the possibility of developing this undesirable reaction to pharmacotherapy.

EXCESSIVE INTERNET USE DURING THE COVID-19 PANDEMIC IN A POPULATION OF NORTH LIMA

Currently, the internet use in conjunction with mobile devices is one of the resources that is increasingly used in the population, however its excess consumption can generate consequences at the mental level of the person. The research objective is to determine the Excessive Internet Use during the COVID-19 pandemic in a population of North Lima. In the results, we observe that, excessive internet use during the COVID-19 pandemic, 67 (59.3%) of the participants have a mild addiction to the internet use and 46 (40.7%) have a moderate addiction to internet use. It is concluded that strategies should be sought to guide parents towards proper management of the Internet use in their children and thus reduce dependence on the Internet use.

AYURVEDIC MANAGEMENT OF KITIBH KUSHTHA (SCALP PSORIASIS) – A CASE REPORT

People suffering from Autoimmune diseases is increasing day by day. The exact cause of the autoimmune disease is still unknown. Psoriasis is one such disease. Dry thick raised itchy patches on the skin are the sign of psoriasis. They are covered with silvery-white scales. It is triggered by infection stress and cold. There is no known cure but with proper management, serious flares can be avoided. It generally affects the scalp, sole, palm, elbows and knees. Such diseases can be effectively managed by Ayurveda. Ayurveda defines the major- ity of skin diseases under the category of Kushtha. Clinically we can compare scalp psoriasis to Kitibha Kush- tha mentioned in the granthas. In the present study, a 53-year-old male patient was treated for scalp psoriasis. He presented himself with itching, dry scales, flake formation and whitish-pink patches on the scalp. He was treated with Arogyavardhini, Sukshma Triphala, Panchatikta Ghrut, Jatamansi choorna internally and Karan- ja Tel for local application. The treatment was given for seven months. The case report is presented here to share effective management of scalp psoriasis by Ayurveda. Keywords: Psoriasis, Kitibha Kushtha, autoimmune diseases, Arogyavardhini, Ayurveda.

Rating of Physics Laboratory Resources Management in Tertiary Institutions: Implications for Teaching and Learning STEM Subjects

Physics, a major branch of science requires adequate implementation of its theoretical and practical components. The critical role played by the use of laboratory in realising this goal cannot be overemphasized hence, the need for proper management of laboratory resources. This study investigated the rating of physics laboratory resources management in tertiary institution and its implications for STEM subjects using student’s voice. The investigation adopted a descriptive-survey research design which comprised 596 students taking physics-related courses in six tertiary institutions in Ondo State. A questionnaire with 19 item statements was designed titled ‘Questionnaire on Physics Laboratory Resources Management’ (QPLRM) and used to collect data for this study. The data collected were analysed using mean scores and ranking. Inadequate funding to carry out managerial plans and lackadaisical attitude on the part of lecturers were rated highest to have hindered the proper management of physics laboratory resources for improving STEM subjects. The study concludes that adequate funding and improved positive attitude on the part of lecturers and support staff are important to guarantee proper teaching of STEM subjects. The study recommends that government through its agencies should provide more funds for the adequate implementation of STEM subjects.

Good Visual Acuity Outcome from an Ocular Blast Injury with Proper Management in Dr. Soetomo General Hospital Surabaya, Indonesia

Introduction: Ocular blast injury related to fireworks most often causing corneal erosion (29%), conjunctival erosion (11%), and conjunctival foreign body (10%) with children are more often than adults (65.9%:34.1%), and males far more often than female (71.9%:28.1%). Knowing proper management is very important to achieve the best result. Case presentation: We describe an ocular blast injury that experienced broad erosion and multiple foreign bodies on the corneal and pericorneal surface in the left eye and visual acuity decreased. The foreign body was scattered, and the fluorescein test was positive. We did proper foreign body extraction, irrigation, and ocular bandage. It was treated with chloramphenicol 0.5% eye ointment and homatropine eye drop. In two months, the patient’s left eye had clear cornea with a small scar formation near the visual axis. The visual acuity was 6/7 and BCVA was 6/6 with S-0.5 C-0.5 A 50° correction. Conclusions: Patients with ocular blast injury limited to superficial cornea erosion and and conjunctival erosion have a reasonable probability of achieving the best visual acuity. Foreign body extraction, proper irrigation, and topical medication show promising results. Scar formation near the visual axis can disrupt visual acuity however can be corrected in this case it can be corrected with glasses. Furthermore, public promotion and regulation to control firework using are very important.

Knowledge and Challenges Associated With Hearing Impairment in Affected Individuals From Cameroon (Sub-Saharan Africa)

Background: This study aimed to gain an understanding of the challenges faced by people with hearing impairment (HI) in Cameroon, their understanding of the causes of HI, and how challenges could be remedied to improve the quality of life of persons with HI.Methods: Semi-structured one-on-one in-depth interviews and observation of participant behaviour when answering questions were used to collect data from 10 HI professionals (healthcare workers and educationists), and 10 persons affected by HI (including caregivers).Results: The results show that the different groups associate the causes of HI to genetics, environmental factors, and a spiritual curse. There were reported cases of stigma and discrimination of persons with HI, with people sometimes referring to HI as an “intellectual disorder.” Interviewees also highlighted the difficulty persons with HI have in accessing education and healthcare services and suggested the need for the government and health researchers to develop strategies for the prevention and early diagnosis of HI. These strategies include (1) the awareness of the general population regarding HI, (2) the development of facilities for the proper management and new-born screening of HI, and (3) the implementation of a premarital screening to reduce the burden of HI of genetic origin.Conclusions: This study confirms the difficult social interaction and access to proper management faced by persons with HI in Cameroon and further highlights the need to educate populations on the causes of HI for a better acceptance of individuals with HI in the Cameroonian society.

Cyclopia - A Rare Lethal Malformation

Cyclopia is the rare manifestation of most severe degree of alobar holoprosencephaly1. Its most cardinal feature is presence of single eye or partially divided eye in a single socket at mid face with varying degrees of fusion of globes. The teratogenic factors leading to this anomaly include genetics, drugs, infection, radiation. Very few reports have documented this anomaly in newborn. Hence we present a case of stillborn baby of cyclopia with synophthalmia to a 27 year old woman who presented in second stage of labour with USG showing placenta previa. Early prenatal diagnosis, genetic study and proper management of this anomaly should be emphasized for better outcome in future. Key words: cyclopia; holoprosencephaly; teratogenic; synophthalmia; prenatal diagnosis.