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Search results for: unilateral
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for: unilateral</h1> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">78</span> Effectiveness of Adrenal Venous Sampling in the Management of Primary Aldosteronism: Single Centered Cohort Study at a Tertiary Care Hospital in Sri Lanka</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Balasooriya%20B.%20M.%20C.%20M.">Balasooriya B. M. C. M.</a>, <a href="https://publications.waset.org/abstracts/search?q=Sujeeva%20N."> Sujeeva N.</a>, <a href="https://publications.waset.org/abstracts/search?q=Thowfeek%20Z."> Thowfeek Z.</a>, <a href="https://publications.waset.org/abstracts/search?q=Siddiqa%20Omo"> Siddiqa Omo</a>, <a href="https://publications.waset.org/abstracts/search?q=Liyanagunawardana%20J.%20E."> Liyanagunawardana J. E.</a>, <a href="https://publications.waset.org/abstracts/search?q=Jayawardana%20Saiu"> Jayawardana Saiu</a>, <a href="https://publications.waset.org/abstracts/search?q=Manathunga%20S.%20S."> Manathunga S. S.</a>, <a href="https://publications.waset.org/abstracts/search?q=Katulanda%20G.%20W."> Katulanda G. W.</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction and objectives: Adrenal venous sampling (AVS) is the gold standard to discriminate unilateral primary aldosteronism (UPA) from bilateral disease (BPA). AVS is technically demanding and only performed in a limited number of centers worldwide. To the best of our knowledge, Except for one study conducted in India, no other research studies on this area have been conducted in South Asia. This study aimed to evaluate the effectiveness of AVS in the management of primary aldosteronism. Methods: A total of 32 patients who underwent AVS at the National Hospital of Sri Lanka from April 2021 to April 2023 were enrolled. Demographic, clinical and laboratory data were obtained retrospectively. A procedure was considered successful when adequate cannulation of both adrenal veins was demonstrated. Cortisol gradient across the adrenal vein (AV) and the peripheral vein was used to establish the success of venous cannulation. Lateralization was determined by the aldosterone gradient between the two sides. Continuous and categorical variables were summarized with mean, SD, and proportions, respectively. The mean and standard deviation of the contralateral suppression index (CSI) were estimated with an intercept-only Bayesian inference model. Results: Of the 32 patients, the average age was 52.47 +26.14 and 19 (59.4%) were males. Both AVs were successfully cannulated in 12 (37.5%). Among them, lateralization was demonstrated in 11(91.7%), and one was diagnosed as a bilateral disease. There were no total failures. Right AV cannulation was unsuccessful in 18 (56.25%), of which lateralization was demonstrated in 9 (50%), and others were inconclusive. Left AV cannulation was unsuccessful only in 2 (6.25%); one was lateralized, and the other remained inconclusive. The estimated mean of the CSI was 0.33 (89% credible interval 0.11-0.86). Seven patients underwent unilateral adrenalectomy and demonstrated significant improvement in blood pressure during follow-up. Two patients await surgery. Others were treated medically. Conclusions: Despite failure due to procedural difficulties, AVS remained useful in the management of patients with PA. Moreover, the success of the procedure needs experienced hands and advanced equipment to achieve optimal outcomes in PA. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=adrenal%20venous%20sampling" title="adrenal venous sampling">adrenal venous sampling</a>, <a href="https://publications.waset.org/abstracts/search?q=lateralization" title=" lateralization"> lateralization</a>, <a href="https://publications.waset.org/abstracts/search?q=contralateral%20suppression%20index" title=" contralateral suppression index"> contralateral suppression index</a>, <a href="https://publications.waset.org/abstracts/search?q=primary%20aldosteronism" title=" primary aldosteronism"> primary aldosteronism</a> </p> <a href="https://publications.waset.org/abstracts/182033/effectiveness-of-adrenal-venous-sampling-in-the-management-of-primary-aldosteronism-single-centered-cohort-study-at-a-tertiary-care-hospital-in-sri-lanka" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/182033.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">64</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">77</span> Quality of Life in People with Hearing Loss: A Study of Patients Referred to an Audiological Service</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Peder%20O.%20Laugen%20Heggdal">Peder O. Laugen Heggdal</a>, <a href="https://publications.waset.org/abstracts/search?q=Oyvind%20Nordvik"> Oyvind Nordvik</a>, <a href="https://publications.waset.org/abstracts/search?q=Jonas%20Brannstrom"> Jonas Brannstrom</a>, <a href="https://publications.waset.org/abstracts/search?q=Flemming%20Vassbotn"> Flemming Vassbotn</a>, <a href="https://publications.waset.org/abstracts/search?q=Anne%20Kari%20Aarstad"> Anne Kari Aarstad</a>, <a href="https://publications.waset.org/abstracts/search?q=Hans%20Jorgen%20Aarstad"> Hans Jorgen Aarstad</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Hearing loss (HL) affect people of all ages and stages in life. To author's best knowledge, if patients with an HL have reduced Generic Quality of life (QoL), has yet not been answered. Aim: The aim of the present study was to investigate the relationship between HL and generic and disease-specific Health Related Quality of Life (HRQoL) in adult patients (aged 18–78 years) with an HL, seeking Hearing Aid (HA). Material and Methods: 158 adult (aged 18-78 years) patients with HL, referred for HA fitting at Haukeland University Hospital in western Norway, participated in the study. Both first-time users, as well as patients referred for HA renewals, were included. First-time users had been pre-examined by an Ear Nose and Throat specialist. The questionnaires were answered before the actual HA fitting procedure. The pure-tone average (PTA; frequencies 0.5, 1, 2 and 4 kHz) was determined for each ear. The generic European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire general part and a shortened version of the Abbreviated Profile of Hearing Aid Benefit (APHAB) were answered. In addition, EORTC HRQoL answers from a general population and patients with former head and neck cancer served as comparison. Results: In general, no lowered HRQoL scores were determined among HL patients compared to the general population. Patients with unilateral HL to some extent showed lower HRQoL than those with bilateral HL (social function and fatigue). The APHAB scores correlated significantly with the EORTC HRQoL scores. By stepwise linear regression analysis, the APHAB scores were scored secondary to PTA (best ear), cognitive and physical function. Conclusion: HRQoL scores in HL patients, in general, seems to be at the population level, but the unilateral HL patients scored to some extent lower than the bilateral HI patients. APHAB and generic QoL scores levels are associated. Both HRQoL and APHAB scores are generated more complexly than anticipated. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=quality%20of%20life" title="quality of life">quality of life</a>, <a href="https://publications.waset.org/abstracts/search?q=hearing%20loss" title=" hearing loss"> hearing loss</a>, <a href="https://publications.waset.org/abstracts/search?q=hearing%20impairment" title=" hearing impairment"> hearing impairment</a>, <a href="https://publications.waset.org/abstracts/search?q=distress" title=" distress"> distress</a>, <a href="https://publications.waset.org/abstracts/search?q=depression" title=" depression"> depression</a>, <a href="https://publications.waset.org/abstracts/search?q=anxiety" title=" anxiety"> anxiety</a>, <a href="https://publications.waset.org/abstracts/search?q=hearing%20aid" title=" hearing aid"> hearing aid</a> </p> <a href="https://publications.waset.org/abstracts/91012/quality-of-life-in-people-with-hearing-loss-a-study-of-patients-referred-to-an-audiological-service" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/91012.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">293</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">76</span> Thermal Effect in Power Electrical for HEMTs Devices with InAlN/GaN</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Zakarya%20Kourdi">Zakarya Kourdi</a>, <a href="https://publications.waset.org/abstracts/search?q=Mohammed%20Khaouani"> Mohammed Khaouani</a>, <a href="https://publications.waset.org/abstracts/search?q=Benyounes%20Bouazza"> Benyounes Bouazza</a>, <a href="https://publications.waset.org/abstracts/search?q=Ahlam%20Guen-Bouazza"> Ahlam Guen-Bouazza</a>, <a href="https://publications.waset.org/abstracts/search?q=Amine%20Boursali"> Amine Boursali</a> </p> <p class="card-text"><strong>Abstract:</strong></p> In this paper, we have evaluated the thermal effect for high electron mobility transistors (HEMTs) heterostructure InAlN/GaN with a gate length 30nm high-performance. It also shows the analysis and simulated these devices, and how can be used in different application. The simulator Tcad-Silvaco software has used for predictive results good for the DC, AC and RF characteristic, Devices offered max drain current 0.67A; transconductance is 720 mS/mm the unilateral power gain of 180 dB. A cutoff frequency of 385 GHz, and max frequency 810 GHz These results confirm the feasibility of using HEMTs with InAlN/GaN in high power amplifiers, as well as thermal places. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=HEMT" title="HEMT">HEMT</a>, <a href="https://publications.waset.org/abstracts/search?q=Thermal%20Effect" title=" Thermal Effect"> Thermal Effect</a>, <a href="https://publications.waset.org/abstracts/search?q=Silvaco" title=" Silvaco"> Silvaco</a>, <a href="https://publications.waset.org/abstracts/search?q=InAlN%2FGaN" title=" InAlN/GaN"> InAlN/GaN</a> </p> <a href="https://publications.waset.org/abstracts/25974/thermal-effect-in-power-electrical-for-hemts-devices-with-inalngan" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/25974.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">467</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">75</span> Finite Element Analysis of a Dynamic Linear Crack Problem</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Brian%20E.%20Usibe">Brian E. Usibe</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This paper addresses the problem of a linear crack located in the middle of a homogeneous elastic media under normal tension-compression harmonic loading. The problem of deformation of the fractured media is solved using the direct finite element numerical procedure, including the analysis of the dynamic field variables of the problem. A finite element algorithm that satisfies the unilateral Signorini contact constraint is also presented for the solution of the contact interaction of the crack faces and how this accounts for the qualitative and quantitative changes in the solution when determining the dynamic fracture parameter. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=harmonic%20loading" title="harmonic loading">harmonic loading</a>, <a href="https://publications.waset.org/abstracts/search?q=linear%20crack" title=" linear crack"> linear crack</a>, <a href="https://publications.waset.org/abstracts/search?q=fracture%20parameter" title=" fracture parameter"> fracture parameter</a>, <a href="https://publications.waset.org/abstracts/search?q=wave%20number" title=" wave number"> wave number</a>, <a href="https://publications.waset.org/abstracts/search?q=FEA" title=" FEA"> FEA</a>, <a href="https://publications.waset.org/abstracts/search?q=contact%20interaction" title=" contact interaction"> contact interaction</a> </p> <a href="https://publications.waset.org/abstracts/186593/finite-element-analysis-of-a-dynamic-linear-crack-problem" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/186593.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">42</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">74</span> An Unusual Case of Extensive, Unilateral, Idiopathic Dental Resorption</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ceri%20McIntosh">Ceri McIntosh</a> </p> <p class="card-text"><strong>Abstract:</strong></p> A 25-year-old male was referred to the Maxillofacial department by his general dental practitioner with a complaint of mobile teeth. Medically he was well though he took mirtazapine for anxiety. He was found to have had previous extractions of the lower right second premolar and first molar, with grade 2 mobility of the upper right first and second molars and lower right lateral incisor. Radiographically there was significant external root resorption of these teeth, which were subsequently extracted. Over the next 18 months, the resorption continued around multiple teeth on the right side, and when the mobile teeth were removed, they showed no remaining root, including loss of coronal dentine, leaving only an enamel shell. No cause has been identified either histologically or in the patient’s blood work. A review of relevant literature will be included in this case report. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=case%20report" title="case report">case report</a>, <a href="https://publications.waset.org/abstracts/search?q=idiopathic%20resorption" title=" idiopathic resorption"> idiopathic resorption</a>, <a href="https://publications.waset.org/abstracts/search?q=idiopathic%20root%20resorption" title=" idiopathic root resorption"> idiopathic root resorption</a>, <a href="https://publications.waset.org/abstracts/search?q=external%20resorption" title=" external resorption"> external resorption</a> </p> <a href="https://publications.waset.org/abstracts/150659/an-unusual-case-of-extensive-unilateral-idiopathic-dental-resorption" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/150659.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">79</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">73</span> The Association of Cone-Shaped Epiphysis and Poland Syndrome: A Case Report</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mohammad%20Alqattan">Mohammad Alqattan</a>, <a href="https://publications.waset.org/abstracts/search?q=Tala%20Alkhunani"> Tala Alkhunani</a>, <a href="https://publications.waset.org/abstracts/search?q=Reema%20Al"> Reema Al</a>, <a href="https://publications.waset.org/abstracts/search?q=Aldawish"> Aldawish</a>, <a href="https://publications.waset.org/abstracts/search?q=Felwa%20Almurshard"> Felwa Almurshard</a>, <a href="https://publications.waset.org/abstracts/search?q=Abdullah%20Alzahrani"> Abdullah Alzahrani</a> </p> <p class="card-text"><strong>Abstract:</strong></p> : Poland’s Syndrome is a congenital anomaly with two clinical features : unilateral agenesis of the pectoralis major and ipsilateral hand symbrachydactyly. Case presentation: We report a rare case of bilateral Poland’s syndrome with several unique features. Discussion: Poland’s syndrome is thought to be due to a vascular insult to the subclavian axis around the 6th week of gestation. Our patient has multiple rare and unique features of Poland’s syndrome. Conclusion: To our best knowledge, for the first time in the literature we associate Poland’s syndrome with cone-shaped epiphysis of the metacarpals of all fingers. Bilaterality, cleft hand deformity, and dextrocardia, were also rare features in our patient. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Poland%27s%20syndrome" title="Poland's syndrome">Poland's syndrome</a>, <a href="https://publications.waset.org/abstracts/search?q=cleft%20hand%20deformity" title=" cleft hand deformity"> cleft hand deformity</a>, <a href="https://publications.waset.org/abstracts/search?q=bilaterality" title=" bilaterality"> bilaterality</a>, <a href="https://publications.waset.org/abstracts/search?q=dextrocardia" title=" dextrocardia"> dextrocardia</a>, <a href="https://publications.waset.org/abstracts/search?q=cone-shaped%20epiphysis" title=" cone-shaped epiphysis"> cone-shaped epiphysis</a> </p> <a href="https://publications.waset.org/abstracts/157595/the-association-of-cone-shaped-epiphysis-and-poland-syndrome-a-case-report" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/157595.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">129</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">72</span> Return to Work Following Knee Arthroplasty: A Retrospective Review in Urban Asian Population</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Fiona%20Tan">Fiona Tan</a>, <a href="https://publications.waset.org/abstracts/search?q=Cheryl%20Tan"> Cheryl Tan</a>, <a href="https://publications.waset.org/abstracts/search?q=Thomas%20Wong"> Thomas Wong</a>, <a href="https://publications.waset.org/abstracts/search?q=Remesh"> Remesh</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: An increasing number of working adults undergo knee arthroplasty in Singapore. There is limited data concerning Southeast Asian patients returning to work (RTW) following knee replacement surgery. Our aim was to identify and study factors influencing patients' RTW following total knee arthroplasty (TKA) or unicompartmental knee arthroplasty (UKA). Methods: Patients who underwent TKA or UKA between August 2017 to March 2020 in our center were included in this study. Outcomes include RTW and duration prior to RTW. Results: 441 patients underwent TKA (295 women, 146 men, mean age 67.3 years), and 69 underwent UKA (48 women, 21 men, mean age 61.1 years). Patients who underwent TKA returned to work earlier (mean 83.7 ± 27.1 days) compared to UKA (mean 94.4 ± 42.3 days). 90.0% of TKA patients RTW compared to 95.5% who underwent UKA. Of patients who RTW, 94.3% of the TKA group returned to employment of the same nature compared to 92.9% of UKA patients. Patients who RTW were of a younger age (p = 0.03), white-collared workers (p = 0.04), and had independent preoperative ambulatory status (p <0.01). Conclusion: Younger and independently ambulating patients may have a better capacity for rehabilitation and RTW post-arthroplasty surgery. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=return%20to%20work" title="return to work">return to work</a>, <a href="https://publications.waset.org/abstracts/search?q=total%20knee%20arthroplasty" title=" total knee arthroplasty"> total knee arthroplasty</a>, <a href="https://publications.waset.org/abstracts/search?q=unilateral%20knee%20arthroplasty" title=" unilateral knee arthroplasty"> unilateral knee arthroplasty</a>, <a href="https://publications.waset.org/abstracts/search?q=employment" title=" employment"> employment</a> </p> <a href="https://publications.waset.org/abstracts/186199/return-to-work-following-knee-arthroplasty-a-retrospective-review-in-urban-asian-population" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/186199.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">38</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">71</span> Incorporation of Hibah as a Catalyst for Channelling Profits and Compensations in Islamic Transactions </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ameen%20Alshugaa">Ameen Alshugaa</a>, <a href="https://publications.waset.org/abstracts/search?q=Farrukh%20Habib"> Farrukh Habib</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Shariah (the Islamic law) sanctions a plethora of profit-sharing arrangements for financial transactions. However, when it comes to the practice of Islamic banking, it is felt by the scholars and practitioners that many of these arrangements often fail to compensate different parties of a financial transaction compared to conventional banking, due to the Riba (interest / usury) element. This issue is caused by the parties inability to codify these compensations in any contract so as to avoid Riba. Here, hibah (gift) may be regarded as one of the solutions. In essence, hibah is a unilateral charity contract where a party voluntarily gives away something to another party without any counter value. This paper attempts to analyse theoretical and practical aspects of hibah from the perspective of Islamic law, enunciating its legality and detailing its allowance in Islamic banking. It also discusses several practices evaluating the role of hibah in resolving issues related to Riba. In particular, these practices demonstrate the validity of hibah as a way to distribute revenues and compensate parties in Islamic financial transactions, while achieving competitive advantage over conventional banking, and avoiding the element of Riba. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=hibah%20%28gift%29" title="hibah (gift)">hibah (gift)</a>, <a href="https://publications.waset.org/abstracts/search?q=Islamic%20Finance" title=" Islamic Finance"> Islamic Finance</a>, <a href="https://publications.waset.org/abstracts/search?q=Islamic%20Law%20of%20Contract" title=" Islamic Law of Contract"> Islamic Law of Contract</a>, <a href="https://publications.waset.org/abstracts/search?q=profit%20distribution" title=" profit distribution"> profit distribution</a>, <a href="https://publications.waset.org/abstracts/search?q=Shariah" title=" Shariah"> Shariah</a> </p> <a href="https://publications.waset.org/abstracts/50778/incorporation-of-hibah-as-a-catalyst-for-channelling-profits-and-compensations-in-islamic-transactions" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/50778.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">301</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">70</span> COVID-19’s Effect on Pre-Existing Hearing Loss</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Jonathan%20A.%20Mikhail">Jonathan A. Mikhail</a>, <a href="https://publications.waset.org/abstracts/search?q=Arsenio%20Paez"> Arsenio Paez</a> </p> <p class="card-text"><strong>Abstract:</strong></p> It is not uncommon for a viral infection to cause hearing loss. Many viral infections are associated with sudden-onset, often unilateral, idiopathic sensorineural hearing loss. We conducted an exploratory study with thirty patients with pre-existing hearing loss between 50 and 64 to evaluate if COVID-19 was associated with exacerbated hearing loss. We hypothesized that hearing loss would be exacerbated by COVID-19 infection in patients with pre-existing hearing loss. A statistically significant paired T-test between pure tone averages (PTAs) at the patient’s original diagnosis and a current, updated audiometric assessment indicated a regression in hearing (p-value < .001) sensitivity following the contraction of COVID-19. Speech reception thresholds (SRTs) and word recognition scores (WRSs) were also considered, as well as the participants' gender. SRTs between each ear exhibited a statistically significant change (p-value of .002 and p-value < .001). WRSs did not show statistically significant differences (p-value of .290 and p-value of .098). A non-statistically significant Two-Way ANOVA was performed to evaluate gender’s potential role in exacerbated hearing loss and proved to be statistically insignificant (p-value of .214). This study discusses practical implications for clinical and educational pursuits in understanding COVID-19's effect on the auditory system and the need to evaluate the deadly virus further. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=audiology" title="audiology">audiology</a>, <a href="https://publications.waset.org/abstracts/search?q=COVID-19" title=" COVID-19"> COVID-19</a>, <a href="https://publications.waset.org/abstracts/search?q=sensorineural%20hearing%20loss" title=" sensorineural hearing loss"> sensorineural hearing loss</a>, <a href="https://publications.waset.org/abstracts/search?q=otology" title=" otology"> otology</a>, <a href="https://publications.waset.org/abstracts/search?q=auditory%20research" title=" auditory research"> auditory research</a> </p> <a href="https://publications.waset.org/abstracts/177663/covid-19s-effect-on-pre-existing-hearing-loss" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/177663.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">79</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">69</span> Drastic Improvement in Vision Following Surgical Excision of Juvenile Nasopharyngeal Angiofibroma with Compressive Optic Neuropathy</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Sweta%20Das">Sweta Das</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This case report is a 15-year-old male who presented with painless unilateral vision loss from left optic nerve compression due to juvenile nasopharyngeal angiofibroma. JNA is a rare, benign neoplasm that causes intracranial and intraorbital bone destruction and extends aggressively into surrounding soft tissues. It accounts for <1% of all head and neck tumors, is predominantly found in pediatric males and tends to affect indigenous population disproportionately. The most common presenting symptom for JNA is epistaxis and nasal obstruction. However, it can invade orbit, chiasm and pituitary gland, causing loss of vision and field. Visual acuity and function near normalized following surgical excision. Optometry plays an important role in the diagnosis and co-management of JNA with optic nerve compression by closely monitoring afferent optic nerve function and structure, and extraocular motility. Visual function and acuity in patients with short-term compressive neuropathy may drastically improve following surgical resection as this case demonstrates. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=orbital%20mass" title="orbital mass">orbital mass</a>, <a href="https://publications.waset.org/abstracts/search?q=painless%20monocular%20vision%20loss" title=" painless monocular vision loss"> painless monocular vision loss</a>, <a href="https://publications.waset.org/abstracts/search?q=compressive%20optic%20neuropathy" title=" compressive optic neuropathy"> compressive optic neuropathy</a>, <a href="https://publications.waset.org/abstracts/search?q=pediatric%20tumor" title=" pediatric tumor"> pediatric tumor</a> </p> <a href="https://publications.waset.org/abstracts/177871/drastic-improvement-in-vision-following-surgical-excision-of-juvenile-nasopharyngeal-angiofibroma-with-compressive-optic-neuropathy" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/177871.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">59</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">68</span> Analysis of Vocal Pathologies Through Subglottic Pressure Measurement</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Perla%20Elizabeth%20Jimarez%20Rocha">Perla Elizabeth Jimarez Rocha</a>, <a href="https://publications.waset.org/abstracts/search?q=Carolina%20Daniela%20Tejeda%20Franco"> Carolina Daniela Tejeda Franco</a>, <a href="https://publications.waset.org/abstracts/search?q=Arturo%20Minor%20Mart%C3%ADnez"> Arturo Minor Martínez</a>, <a href="https://publications.waset.org/abstracts/search?q=Annel%20Gomez%20Coello"> Annel Gomez Coello</a> </p> <p class="card-text"><strong>Abstract:</strong></p> One of the biggest problems in developing new therapies for the management and treatment of voice disorders is the difficulty of objectively evaluating the results of each treatment. A system was proposed that captures and records voice signals, in addition to analyzing the vocal quality (fundamental frequency, zero crossings, energy, and amplitude spectrum), as well as the subglottic pressure (cm H2O) during the sustained phonation of the vowel / a /; a recording system is implemented, as well as an interactive system that records information on subglottic pressure. In Mexico City, a control group of 31 patients with phoniatric pathology is proposed; non-invasive tests were performed for these most common vocal pathologies (Nodules, Polyps, Irritative Laryngitis, Ventricular Dysphonia, Laryngeal Cancer, Dysphonia, and Dysphagia). The most common pathology was irritative laryngitis (32%), followed by vocal fold paralysis (unilateral and bilateral,19.4 %). We take into consideration men and women in the pathological groups due to the physiological difference. They were separated in gender by the difference in the morphology of the respiratory tract. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=amplitude%20spectrum" title="amplitude spectrum">amplitude spectrum</a>, <a href="https://publications.waset.org/abstracts/search?q=energy" title=" energy"> energy</a>, <a href="https://publications.waset.org/abstracts/search?q=fundamental%20frequency" title=" fundamental frequency"> fundamental frequency</a>, <a href="https://publications.waset.org/abstracts/search?q=subglottic%20pressure" title=" subglottic pressure"> subglottic pressure</a>, <a href="https://publications.waset.org/abstracts/search?q=zero%20crossings" title=" zero crossings"> zero crossings</a> </p> <a href="https://publications.waset.org/abstracts/149795/analysis-of-vocal-pathologies-through-subglottic-pressure-measurement" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/149795.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">120</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">67</span> The Search for an Alternative to Tabarru` in Takaful Models</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Abu%20Umar%20Faruq%20Ahmad">Abu Umar Faruq Ahmad</a>, <a href="https://publications.waset.org/abstracts/search?q=Muhammad%20Ayub"> Muhammad Ayub</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Tabarru` (unilateral gratuitous contribution) is thought to be the basic concept that distinguishes Takaful from conventional non-Sharīʿah compliant insurance. The Sharīʿah compliance of its current practice has been questioned in the premise that, a) it is a form of commutative contract; b) it is akin to the commercial corporate structure of insurance companies due to following the same marketing strategies, allocation to reserves, sharing of underwriting surplus by the companies one way or the other, providing loans to the Takaful funds, and resultantly absorbing the underwriting losses. The Sharīʿah scholars are of the view that the relationship between participants in Takaful should be in the form of commitment to donate, under which a contributor makes commitments himself to donate a sum of money for mutual help and cooperation on the condition that the balance, if any, should be returned to him. With the aim of finding solutions to the above mentioned concerns and other Sharīʿah related issues the study seeks to investigate whether the Takaful companies are functioning in accordance with the Islamic principles of brotherhood, solidarity, and cooperative risk sharing. Given that it discusses the cooperative model of Takaful to address the current and future Sharīʿah related and legal concerns. The study proposed an alternative model and considers it to best serve the objectives of Takaful which operates on the basis of ta`awun or mutual co-operation. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=hibah" title="hibah">hibah</a>, <a href="https://publications.waset.org/abstracts/search?q=musharakah%20ta%60awuniyyah" title=" musharakah ta`awuniyyah"> musharakah ta`awuniyyah</a>, <a href="https://publications.waset.org/abstracts/search?q=Tabarru%60" title=" Tabarru`"> Tabarru`</a>, <a href="https://publications.waset.org/abstracts/search?q=Takaful" title=" Takaful"> Takaful</a> </p> <a href="https://publications.waset.org/abstracts/15637/the-search-for-an-alternative-to-tabarru-in-takaful-models" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/15637.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">445</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">66</span> Strabismus Management in Retinoblastoma Survivors</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Babak%20Masoomian">Babak Masoomian</a>, <a href="https://publications.waset.org/abstracts/search?q=Masoud%20Khorrami%20Nejad"> Masoud Khorrami Nejad</a>, <a href="https://publications.waset.org/abstracts/search?q=Hamid%20Riazi%20Esfahani"> Hamid Riazi Esfahani</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Purpose: To report the result of strabismus surgery in eye-salvaged retinoblastoma (Rb) patients. Methods: A retrospective case series including 18 patients with Rb and strabismus who underwent strabismus surgery after completing tumor treatment by a single pediatric ophthalmologist. Results: A total of 18 patients (10 females and 8 males) were included with a mean age of 13.3 ± 3.0 (range, 2-39) months at the time tumor presentation and 6.0 ± 1.5 (range, 4-9) years at the time of strabismus surgery. Ten (56%) patients had unilateral, and 8(44%) had bilateral involvement, and the most common worse eye tumor’s group was D (n=11), C (n=4), B (n=2) and E (n=1). Macula was involved by the tumors in 12 (67%) patients. The tumors were managed by intravenous chemotherapy (n=8, 47%), intra-arterial chemotherapy (n=7, 41%) and both (n=3, 17%). After complete treatment, the average time to strabismus surgery was 29.9 ± 20.5 (range, 12-84) months. Except for one, visual acuity was equal or less than 1.0 logMAR (≤ 20/200) in the affected eye. Seven (39%) patients had exotropia, 11(61%) had esotropia (P=0.346) and vertical deviation was found in 8 (48%) cases. The angle of deviation was 42.0 ± 10.4 (range, 30-60) prism diopter (PD) for esotropic and 35.7± 7.9 (range, 25-50) PD for exotropic patients (P=0.32) that after surgery significantly decreased to 8.5 ± 5.3 PD in esotropic cases and 5.9±6.7 PD in exotropic cases (P<0.001). The mean follow-up after surgery was 15.2 ± 2.0 (range, 10-24) months, in which 3 (17%) patients needed a second surgery. Conclusion: Strabismus surgery in treated Rb is safe, and results of the surgeries are acceptable and close to the general population. There was not associated with tumor recurrence or metastasis. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=retinoblastoma" title="retinoblastoma">retinoblastoma</a>, <a href="https://publications.waset.org/abstracts/search?q=strabismus" title=" strabismus"> strabismus</a>, <a href="https://publications.waset.org/abstracts/search?q=chemotherapy" title=" chemotherapy"> chemotherapy</a>, <a href="https://publications.waset.org/abstracts/search?q=surgery" title=" surgery"> surgery</a> </p> <a href="https://publications.waset.org/abstracts/173512/strabismus-management-in-retinoblastoma-survivors" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/173512.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">60</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">65</span> Metastatic Ovarian Tumor Discovered Accidentally during Cesarean Section in a 34 Year Old Woman: A Case Report</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ghada%20E.%20Esheba">Ghada E. Esheba</a>, <a href="https://publications.waset.org/abstracts/search?q=Ghufran%20Kheshaifaty"> Ghufran Kheshaifaty</a>, <a href="https://publications.waset.org/abstracts/search?q=Kholoud%20%20Al-Harbi"> Kholoud Al-Harbi</a>, <a href="https://publications.waset.org/abstracts/search?q=Wafa%27a%20Al-Harbi"> Wafa'a Al-Harbi</a>, <a href="https://publications.waset.org/abstracts/search?q=Ala%27a%20Al-Orabi"> Ala'a Al-Orabi</a>, <a href="https://publications.waset.org/abstracts/search?q=Moayad%20Turkistani"> Moayad Turkistani</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Krukenberg tumor is a rare metastatic ovarian carcinoma that usually occurs in female between 30 - 40 year old and rarely seen after menopause. Stomach is the most common primary site. Histopathological features of krukenberg tumors appear as diffuse stromal proliferation, mucus-production, and numerous signet-cells and these tumors spread mostly by lymphatic route. Treatment and prognostic factors are not well established. This study describes a 34 year old female with a unilateral ovarian mass discovered accidentally during cesarean section delivery and it was misdiagnosed as luteoma of pregnancy, but histopathological examination showed a diffuse infiltration of the ovary and omentum by signet ring cells. These findings were not correlated with luteoma of pregnancy or any other types of primary ovarian tumors like surface epithelial tumor, sex cord stromal tumor or germ cell tumor. However, after the analysis of immunohistochemical results (negative CK7, positive CK20 and CDX-2), the finding was the diagnostic of metastatic krukenberg tumor. Two weeks later, the patient was evaluated and a large gastric tumor was found in her stomach and she underwent gastrectomy. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=CK7" title="CK7">CK7</a>, <a href="https://publications.waset.org/abstracts/search?q=CK20" title=" CK20"> CK20</a>, <a href="https://publications.waset.org/abstracts/search?q=CDX-2" title=" CDX-2"> CDX-2</a>, <a href="https://publications.waset.org/abstracts/search?q=Krukenburg%20tumor" title=" Krukenburg tumor"> Krukenburg tumor</a>, <a href="https://publications.waset.org/abstracts/search?q=metastatic%20ovarian%20tumor" title=" metastatic ovarian tumor"> metastatic ovarian tumor</a> </p> <a href="https://publications.waset.org/abstracts/59354/metastatic-ovarian-tumor-discovered-accidentally-during-cesarean-section-in-a-34-year-old-woman-a-case-report" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/59354.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">315</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">64</span> Rathke’s Cleft Cyst Presenting as Unilateral Visual Field Defect</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ritesh%20Verma">Ritesh Verma</a>, <a href="https://publications.waset.org/abstracts/search?q=Manisha%20Rathi"> Manisha Rathi</a>, <a href="https://publications.waset.org/abstracts/search?q=Chand%20Singh%20Dhull"> Chand Singh Dhull</a>, <a href="https://publications.waset.org/abstracts/search?q=Sumit%20Sachdeva"> Sumit Sachdeva</a>, <a href="https://publications.waset.org/abstracts/search?q=Jitender%20Phogat"> Jitender Phogat</a> </p> <p class="card-text"><strong>Abstract:</strong></p> A Rathke's cleft cyst is a benign growth found on the pituitary gland in the brain, specifically a fluid-filled cyst in the posterior portion of the anterior pituitary gland. It occurs when the Rathke's pouch does not develop properly and ranges in size from 2 to 40mm in diameter. A 38-year-old male presented to the outpatient department with loss of vision in the inferior quadrant of the left eye since 15 days. Visual acuity was 6/6 in the right eye and 6/9 in the left eye. Visual field analysis by HFA-24-2 revealed an inferior field defect extending to the supero-temporal quadrant in the left eye. MRI brain and orbit was advised to the patient and it revealed a well defined cystic pituitary adenoma indenting left optic nerve near optic chiasm consistent with the diagnosis of Rathke’s cleft cyst (RCC). The patient was referred to neurosurgery department for further management. Symptoms vary greatly between individuals having RCCs. RCCs can be non-functioning, functioning, or both. Besides headaches, neurocognitive deficits are almost always present but have a high rate of immediate reversal if the cyst is properly treated or drained. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=pituitary%20tumors" title="pituitary tumors">pituitary tumors</a>, <a href="https://publications.waset.org/abstracts/search?q=rathke%E2%80%99s%20cleft%20cyst" title=" rathke’s cleft cyst"> rathke’s cleft cyst</a>, <a href="https://publications.waset.org/abstracts/search?q=visual%20field%20defects" title=" visual field defects"> visual field defects</a>, <a href="https://publications.waset.org/abstracts/search?q=vision%20loss" title=" vision loss"> vision loss</a> </p> <a href="https://publications.waset.org/abstracts/84547/rathkes-cleft-cyst-presenting-as-unilateral-visual-field-defect" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/84547.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">205</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">63</span> Management of Facial Nerve Palsy Following Physiotherapy </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Bassam%20Band">Bassam Band</a>, <a href="https://publications.waset.org/abstracts/search?q=Simon%20Freeman"> Simon Freeman</a>, <a href="https://publications.waset.org/abstracts/search?q=Rohan%20Munir"> Rohan Munir</a>, <a href="https://publications.waset.org/abstracts/search?q=Hisham%20Band"> Hisham Band</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Objective: To determine efficacy of facial physiotherapy provided for patients with facial nerve palsy. Design: Retrospective study Subjects: 54 patients diagnosed with Facial nerve palsy were included in the study after they met the selection criteria including unilateral facial paralysis and start of therapy twelve months after the onset of facial nerve palsy. Interventions: Patients received the treatment offered at a facial physiotherapy clinic consisting of: Trophic electrical stimulation, surface electromyography with biofeedback, neuromuscular re-education and myofascial release. Main measures: The Sunnybrook facial grading scale was used to evaluate the severity of facial paralysis. Results: This study demonstrated the positive impact of physiotherapy for patient with facial nerve palsy with improvement of 24.2% on the Sunnybrook facial grading score from a mean baseline of 34.2% to 58.2%. The greatest improvement looking at different causes was seen in patient who had reconstructive surgery post Acoustic Neuroma at 31.3%. Conclusion: The therapy shows significant improvement for patients with facial nerve palsy even when started 12 months post onset of paralysis across different causes. This highlights the benefit of this non-invasive technique in managing facial nerve paralysis and possibly preventing the need for surgery. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=facial%20nerve%20palsy" title="facial nerve palsy">facial nerve palsy</a>, <a href="https://publications.waset.org/abstracts/search?q=treatment" title=" treatment"> treatment</a>, <a href="https://publications.waset.org/abstracts/search?q=physiotherapy" title=" physiotherapy"> physiotherapy</a>, <a href="https://publications.waset.org/abstracts/search?q=bells%20palsy" title=" bells palsy"> bells palsy</a>, <a href="https://publications.waset.org/abstracts/search?q=acoustic%20neuroma" title=" acoustic neuroma"> acoustic neuroma</a>, <a href="https://publications.waset.org/abstracts/search?q=ramsey-hunt%20syndrome" title=" ramsey-hunt syndrome"> ramsey-hunt syndrome</a> </p> <a href="https://publications.waset.org/abstracts/19940/management-of-facial-nerve-palsy-following-physiotherapy" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/19940.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">535</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">62</span> Somatosensory-Evoked Blink Reflex in Peripheral Facial Palsy</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Sarah%20Sayed%20El-%20Tawab">Sarah Sayed El- Tawab</a>, <a href="https://publications.waset.org/abstracts/search?q=Emmanuel%20Kamal%20Azix%20Saba"> Emmanuel Kamal Azix Saba</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Objectives: Somatosensory blink reflex (SBR) is an eye blink response obtained from electrical stimulation of peripheral nerves or skin area of the body. It has been studied in various neurological diseases as well as among healthy subjects in different population. We designed this study to detect SBR positivity in patients with facial palsy and patients with post facial syndrome, to relate the facial palsy severity and the presence of SBR, and to associate between trigeminal BR changes and SBR positivity in peripheral facial palsy patients. Methods: 50 patients with peripheral facial palsy and post-facial syndrome 31 age and gender matched healthy volunteers were enrolled to this study. Facial motor conduction studies, trigeminal BR, and SBR were studied in all. Results: SBR was elicited in 67.7% of normal subjects, in 68% of PFS group, and in 32% of PFP group. On the non-paralytic side SBR was found in 28% by paralyzed side stimulation and in 24% by healthy side stimulation among PFP patients. For PFS group SBR was found on the non- paralytic side in 48%. Bilateral SBR elicitability was higher than its unilateral elicitability. Conclusion: Increased brainstem interneurons excitability is not essential to generate SBR. The hypothetical sensory-motor gating mechanism is responsible for SBR generation. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=somatosensory%20evoked%20blink%20reflex" title="somatosensory evoked blink reflex">somatosensory evoked blink reflex</a>, <a href="https://publications.waset.org/abstracts/search?q=post%20facial%20syndrome" title=" post facial syndrome"> post facial syndrome</a>, <a href="https://publications.waset.org/abstracts/search?q=blink%20reflex" title=" blink reflex"> blink reflex</a>, <a href="https://publications.waset.org/abstracts/search?q=enchanced%20gain" title=" enchanced gain"> enchanced gain</a> </p> <a href="https://publications.waset.org/abstracts/18913/somatosensory-evoked-blink-reflex-in-peripheral-facial-palsy" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/18913.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">619</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">61</span> Effect of Low-Intensity Laser on Severe Tinnitus in Idiopathic Sudden Hearing Loss Patients</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Z.%20Mowafy%20Emam%20Mowafy">Z. Mowafy Emam Mowafy</a>, <a href="https://publications.waset.org/abstracts/search?q=Ahmed%20R.%20Sayed"> Ahmed R. Sayed</a>, <a href="https://publications.waset.org/abstracts/search?q=M.%20El%20Sayed%20Mohmmed%20Hassan"> M. El Sayed Mohmmed Hassan</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Purpose: to evaluate the effect of low intensity laser on severe tinnitus in idiopathic sudden hearing loss patients. Methods of evaluation (Visual analogue scale and tinnitus handicap inventory scale):- Thirty patients who had unilateral tinnitus with sensorineural hearing loss were participated in the study. Subjects aged from 40 to 50 were randomly divided into two equal groups: group (A): composed of 15 patients who received the routine medical care (Systemic steroids) in addition to the low-intensity laser therapy (LILT) while group (B): composed of 15 patients who received only the routine medical care. Continuous 632.8nm He-Ne laser was used with 5mW power for 15 min\day, 3 days per week for 3 months. Results and conclusion: Results showed that application of the LILT had a valuable effect on severe tinnitus in idiopathic sudden hearing loss patients as evidenced by the highly decreased visual analogue scale and tinnitus handicap inventory scale. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=idiopathic%20sudden%20hearing%20loss" title="idiopathic sudden hearing loss">idiopathic sudden hearing loss</a>, <a href="https://publications.waset.org/abstracts/search?q=low%20intensity%20laser" title=" low intensity laser"> low intensity laser</a>, <a href="https://publications.waset.org/abstracts/search?q=tinnitus" title=" tinnitus"> tinnitus</a>, <a href="https://publications.waset.org/abstracts/search?q=tinnitus%20handicap%20inventory%20scale%20and%20visual%20analogue%20scale" title=" tinnitus handicap inventory scale and visual analogue scale"> tinnitus handicap inventory scale and visual analogue scale</a> </p> <a href="https://publications.waset.org/abstracts/48943/effect-of-low-intensity-laser-on-severe-tinnitus-in-idiopathic-sudden-hearing-loss-patients" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/48943.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">395</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">60</span> Analgesia in Acute Traumatic Rib Fractures</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=A.%20Duncan">A. Duncan</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20Blake"> A. Blake</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20O%27Gara"> A. O'Gara</a>, <a href="https://publications.waset.org/abstracts/search?q=J.%20Fitzgerald"> J. Fitzgerald</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Acute traumatic rib fractures have significant morbidity and mortality and are a commonly seen injury in trauma patients. Rib fracture pain can often be acute and can prove challenging to manage. We performed an audit on patients with acute traumatic rib fractures with the aim of composing a referral and treatment pathway for such patients. Methods: From January 2021 to January 2022, the pain medicine service encouraged early referral of all traumatic rib fractures to the pain service for a multi-modal management approach. A retrospective audit of analgesic management was performed on a select cohort of 24 patients, with a mean age of 67, of which 19 had unilateral rib fractures. Results: 17 of 24 patients (71%) underwent local, regional block as part of a multi-modal analgesia regime. Only one regional complication was observed, seen with hypotension occurring in one patient with a thoracic epidural. The group who did not undergo regional block had a length of stay (LOS) 17 days longer than those who did (27 vs. 10) and higher rates of pneumonia (29% vs. 18%). Conclusion: Early referral to pain specialists is an important component of the effective management of acute traumatic rib fractures. From our audit, it is evident that regional blocks can be effectively used in these cases as part of a multi-modal analgesia regime and may confer benefits in terms of respiratory complications and length of stay. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=rib%20fractures" title="rib fractures">rib fractures</a>, <a href="https://publications.waset.org/abstracts/search?q=regional%20blocks" title=" regional blocks"> regional blocks</a>, <a href="https://publications.waset.org/abstracts/search?q=thoracic%20epidural" title=" thoracic epidural"> thoracic epidural</a>, <a href="https://publications.waset.org/abstracts/search?q=erector%20spina%20block" title=" erector spina block"> erector spina block</a> </p> <a href="https://publications.waset.org/abstracts/165564/analgesia-in-acute-traumatic-rib-fractures" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/165564.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">75</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">59</span> Chronic and Sub-Acute Lumbosacral Radiculopathies Behave Differently to Repeated Back Extension Exercises</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Sami%20Alabdulwahab">Sami Alabdulwahab</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Repeated back extension exercises (RBEEs) are among the management options for symptoms associated with lumbosacral radiculopathy (LSR). RBEEs have been reported to cause changes in the distribution and intensity of radicular symptoms caused by possible compression/decompression of the compromised nerve root. Purpose: The purpose of this study was to investigate the effects of the RBEEs on the neurophysiology of the compromised nerve root and on standing mobility and pain intensity in patients with sub-acute and chronic LSR. Methods: A total of 40 patients with unilateral sub-acute/chronic lumbosacral radiculopathy voluntarily participated in the study; the patients performed 3 sets of 10 RBEEs in the prone position with 1 min of rest between the sets. The soleus H-reflex, standing mobility and pain intensity were recorded before and after the RBEEs. Results: The results of the study showed that the RBEEs significantly improved the H-reflex, standing mobility and pain intensity in patients with sub-acute LSR (p<0.01); there was not a significant improvement in the patients with chronic LSR (p<0.61). Conclusion: RBEEs in prone position is recommended for improving the neurophysiological function of the compromised nerve root and standing mobility in patients with sub-acute LSR. Implication: Sub-acute and chronic LSR responded differently to RBEEs. Sub-acute LSR appear to have flexible and movable disc structures, which could be managed with RBEEs. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=h-reflex" title="h-reflex">h-reflex</a>, <a href="https://publications.waset.org/abstracts/search?q=back%20extension" title=" back extension"> back extension</a>, <a href="https://publications.waset.org/abstracts/search?q=lumbosacral%20radiculopathy" title=" lumbosacral radiculopathy"> lumbosacral radiculopathy</a>, <a href="https://publications.waset.org/abstracts/search?q=pain" title=" pain"> pain</a> </p> <a href="https://publications.waset.org/abstracts/34951/chronic-and-sub-acute-lumbosacral-radiculopathies-behave-differently-to-repeated-back-extension-exercises" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/34951.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">478</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">58</span> Indonesia’s Defense Diplomacy Strength Towards China’s Aggressive Maritime Policy</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Pangihutan%20Panjaitan">Pangihutan Panjaitan</a>, <a href="https://publications.waset.org/abstracts/search?q=Helda%20Risman"> Helda Risman</a>, <a href="https://publications.waset.org/abstracts/search?q=Devindra%20Oktaviano"> Devindra Oktaviano</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This research is departed from the security issues generated from China’s unilateral claims in the South China Sea conflict. The diplomacy challenges come from Indonesia’s relations with China as well as with ASEAN-member countries involved in the conflict. It is estimated that the conflict in the South China Sea region will become an endless conflict. Comprehensively, Indonesia is implementing a gradual shift in diplomatic approach in creating positive and constructive ties among Indonesia, China, and ASEAN. In line with the rapid-changing world order, the conventional military approach becomes less significant in today’s modern inter-state interactions. This research is conducted in a qualitative literature review to explain how Indonesia’s recent soft diplomacy approach applied in the South China Sea conflict. This type of diplomacy theoretically assumed as one of the most preferred ways to establish mutual trust and confidence among conflicting parties. Maritime issues found its significance in contemporary foreign policy since the world’s most dynamic region has moved to the archipelagic Asia-Pacific. As mentioned by rationalists, every country, including Indonesia, has surely formulated its own prominent national interest, such as the defense aspect. Finally, this research will provide a deep analysis on Indonesia’s centrality in ASEAN as an effective way to ensure Indonesia’s strategic policy in the region well accommodated. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=soft%20diplomacy" title="soft diplomacy">soft diplomacy</a>, <a href="https://publications.waset.org/abstracts/search?q=south%20China%20sea" title=" south China sea"> south China sea</a>, <a href="https://publications.waset.org/abstracts/search?q=national%20defense" title=" national defense"> national defense</a>, <a href="https://publications.waset.org/abstracts/search?q=China" title=" China"> China</a> </p> <a href="https://publications.waset.org/abstracts/115559/indonesias-defense-diplomacy-strength-towards-chinas-aggressive-maritime-policy" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/115559.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">160</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">57</span> Renal Transplant, Pregnancy, and Complications: A Literature Review </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Sara%20Iqbal">Sara Iqbal</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction:Renal transplant is increasingly one of the most popular transplants within the UK; with an aging population along with obesity epidemic we are witnessing increasing rates of diabetes – one of the commonest indications for renal transplant. However, the demand is far greater than supply. Many donors are provided by women of child-bearing age; however the long-term effects are still uncertain. Aim:Determine pregnancy outcomes and complications of women of child-bearing age following renal donation. Methods: A review of the current available literature was preformed using MEDLINE and EMBASE up to 2014. Search criteria included key terms such as pregnancy outcome post-renal donor, pregnancy outcomes and complications. Relevant articles were selected based on pure methodological medical research, after careful analysis, they were recorded within this review. Results: Out of 1141 women involved in transplant studies, 574 pregnancies reported having donated a single-renal donor prior to pregnancy. Of which a staggering miscarriage rate 32.4% (n=186) was reported, amongst this other complications included gestational hypertension of 10% (n=59) and gestational diabetes 2.3% (n=13). Other significantly noted complications included chronic hypertension, low-birth weights, and pregnancy-related death. Conclusions: After unilateral renal donor transplant, haemodynamics change along with pregnancy, predisposing women to developing several complications compared to pregnancies with no history any renal-donor transplant. Despite this, further investigation is required in order to accurately determine the safety of renal-donors in women of child-bearing age. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=renal%20transplant" title="renal transplant">renal transplant</a>, <a href="https://publications.waset.org/abstracts/search?q=pregnancy" title=" pregnancy"> pregnancy</a>, <a href="https://publications.waset.org/abstracts/search?q=complications" title=" complications"> complications</a>, <a href="https://publications.waset.org/abstracts/search?q=medical%20and%20health%20sciences" title=" medical and health sciences "> medical and health sciences </a> </p> <a href="https://publications.waset.org/abstracts/17993/renal-transplant-pregnancy-and-complications-a-literature-review" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/17993.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">273</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">56</span> UV Functionalised Short Implants as an Alternative to Avoid Crestal Sinus Lift Procedure: Controlled Case Series</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Naira%20Ghambaryan">Naira Ghambaryan</a>, <a href="https://publications.waset.org/abstracts/search?q=Gagik%20Hakobyan"> Gagik Hakobyan</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Purpose:The study was to evaluate the survival rate of short implants (5-6 mm) functionalized with UV radiation placed in the posterior segments of the atrophied maxilla. Materials and Methods:The study included 47 patients with unilateral/bilateral missing teeth and vertical atrophy of the posterior maxillary area. A total of 64 short UV-functionalized implants and 62 standard implants over 10 mm in length were placed in patients. The clinical indices included the following parameters: ISQБ MBL, OHIP-G scale. Results: For short implants, the median ISQ at placement was 62.2 for primary stability, and the median ISQ at 5 months was 69.6 ISQ. For standart implant, the mean ISQ at placement was 64.3 ISQ, and ISQ after 5 months was 71.6 ISQ. Аfter 6 months mean MBL short implants 0.87 mm, after 1 year, 1.13 mm, after 5 year was 1.48 mm. Аfter 6 months, mean MBL standard implants 0.84 mm, after 1 year, 1.24 mm, after 5 year was 1.58 mm. Mean OHIP-G scores -patients satisfaction with the implant at 4.8 ± 0.3, satisfaction with the operation 4.6 ± 0.4; satisfaction with prosthetics 4.7 ± 0.5. Cumulative 5-year short implants rates was 96.7%, standard implants was 97.4%, and prosthesis cumulative survival rate was 97.2%. Conclusions: Short implants with ultraviolet functionalization for prosthetic rehabilitation of the posterior resorbed maxilla region is a reliable, reasonable alternative to sinus lift, demonstrating fewer complications, satisfactory survival of a 5-year follow-up period, and reducing the number of additional surgical interventions and postoperative complications. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=short%20implant" title="short implant">short implant</a>, <a href="https://publications.waset.org/abstracts/search?q=ultraviolet%20functionalization" title=" ultraviolet functionalization"> ultraviolet functionalization</a>, <a href="https://publications.waset.org/abstracts/search?q=atrophic%20posterior%20maxilla" title=" atrophic posterior maxilla"> atrophic posterior maxilla</a>, <a href="https://publications.waset.org/abstracts/search?q=prosthodontic%20rehabilitation" title=" prosthodontic rehabilitation"> prosthodontic rehabilitation</a> </p> <a href="https://publications.waset.org/abstracts/166730/uv-functionalised-short-implants-as-an-alternative-to-avoid-crestal-sinus-lift-procedure-controlled-case-series" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/166730.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">86</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">55</span> A Case Report of Aberrant Vascular Anatomy of the Deep Inferior Epigastric Artery Flap</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Karissa%20Graham">Karissa Graham</a>, <a href="https://publications.waset.org/abstracts/search?q=Andrew%20Campbell-Lloyd"> Andrew Campbell-Lloyd</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The deep inferior epigastric artery perforator flap (DIEP) is used to reconstruct large volumes of tissue. The DIEP flap is based on the deep inferior epigastric artery (DIEA) and vein. Accurate knowledge of the anatomy of these vessels allows for efficient dissection of the flap, minimal damage to surrounding tissue, and a well vascularized flap. A 54 year old lady was assessed for bilateral delayed autologous reconstruction with DIEP free flaps. The right DIEA was consistent with the described anatomy. The left DIEA had a vessel branching shortly after leaving the external iliac artery and before entering the muscle. This independent branch entered the muscle and had a long intramuscular course to the largest perforator. The main DIEA vessel demonstrated a type II branching pattern but had perforators that were too small to have a viable DIEP flap. There were no communicating arterial branches between the independent vessel and DIEA, however, there was one venous communication between them. A muscle sparing transverse rectus abdominis muscle flap was raised using the main periumbilical perforator from the independent vessel. Our case report demonstrated an unreported anatomical variant of the DIEA. A few anatomical variants have been described in the literature, including a unilateral absent DIEA and peritoneal-cutaneous perforators that had no connection to the DIEA. Doing a pre-operative CTA helps to identify these rare anatomical variations, which leads to safer, more efficient, and effective operating. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=aberrant%20anatomy" title="aberrant anatomy">aberrant anatomy</a>, <a href="https://publications.waset.org/abstracts/search?q=CT%20angiography" title=" CT angiography"> CT angiography</a>, <a href="https://publications.waset.org/abstracts/search?q=DIEP%20anatomy" title=" DIEP anatomy"> DIEP anatomy</a>, <a href="https://publications.waset.org/abstracts/search?q=free%20flap" title=" free flap"> free flap</a> </p> <a href="https://publications.waset.org/abstracts/148765/a-case-report-of-aberrant-vascular-anatomy-of-the-deep-inferior-epigastric-artery-flap" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/148765.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">134</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">54</span> Effect of Inspiratory Muscle Training on Diaphragmatic Strength Following Coronary Revascularization</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Abeer%20Ahmed%20Abdelhamed"> Abeer Ahmed Abdelhamed</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Postoperative pulmonary complications (PPCs) are the most common complications observed and managed after abdominal or cardiothoracic surgery. Hypoxemia, atelectasis, pleural effusion, or diaphragmatic dysfunction, are often a source of morbidity in cardiac surgery patients, and are more common in patients receiving unilateral or bilateral internal mammary artery (IMT) grafts than patients receiving saphenous vein (SV) grafts alone. Purpose: The aim of this work was to investigate the effect of Threshold load inspiratory muscle training on pulmonary gas exchange and maximum inspiratory pressure (MIP) in patient undergoing coronary revascularization. Subject: Thirty three male patients eligible for coronary revascularization were selected to participate in the study. Method: They were divided into two groups(17 patients in the intervention group and 16 patients in the control group), the interventional group received inspiratory muscle training at 30% of their maximum inspiratory pressure throughout the hospitalization period in addition to routine post operative care. Result: The results of this study showed a significant improvement on maximum inspiratory pressure(MIP), Arterial-alveolar pressure gradient (A-a gradient) and oxygen saturation in the intervention group. Conclusion: Inspiratory muscle training using threshold mode significantly improves maximum inspiratory pressure, pulmonary gas exchange tested by alveolar-arterial gradient and oxygen saturation in Patients undergoing coronary revascularization. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=coronary%20revascularization" title="coronary revascularization">coronary revascularization</a>, <a href="https://publications.waset.org/abstracts/search?q=inspiratory%20muscle%20training" title=" inspiratory muscle training"> inspiratory muscle training</a>, <a href="https://publications.waset.org/abstracts/search?q=maximum%20inspiratory%20pressure" title=" maximum inspiratory pressure"> maximum inspiratory pressure</a>, <a href="https://publications.waset.org/abstracts/search?q=pulmonary%20gas%20exchange" title=" pulmonary gas exchange"> pulmonary gas exchange</a> </p> <a href="https://publications.waset.org/abstracts/31159/effect-of-inspiratory-muscle-training-on-diaphragmatic-strength-following-coronary-revascularization" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/31159.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">300</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">53</span> Implementation of Complete Management Practices in Managing the Cocoa Pod Borer</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=B.%20Saripah">B. Saripah</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20Alias"> A. Alias </a> </p> <p class="card-text"><strong>Abstract:</strong></p> Cocoa Theobroma cacao (Linnaeus) (Malvales: Sterculiaceae) is subjected to be infested by various numbers of insect pests, and Conopomorpha cramerella Snellen (Lepidoptera: Gracillariidae) is the most serious pest of cocoa in Malaysia. The pest was indigenous to the South East Asia. Several control measures have been implemented and the chemicals have been a major approach if not unilateral, in the management of CPB. Despite extensive use of insecticides, CPB continues to cause an unacceptable level of damage; thus, the combination of several control approaches should be sought. The study was commenced for 12 months at three blocks; Block 18C with complete management practices which include insecticide application, pruning, fertilization and frequent harvesting, Block 17C was treated with frequent harvesting at intervals of 7-8 days, and Block 19C was served as control block. The results showed that the mean numbers of CPB eggs were recorded higher in Block 17C compared with Block 18C in all sampling occasions. Block 18C shows the lowest mean number of CPB eggs in both sampling plots, outside and core plots and it was found significantly different (p ≤ 0. 05) compared to the other blocks. The mean number of CPB eggs was fluctuated throughout sampling occasions, the lowest mean number of eggs was recorded in January (17C) and November (18C), while the highest was recorded in April (17C) and December 2012 (18C). Frequent spraying with insecticides at the adjacent block (18C) helps in reducing CPB eggs in the control block (Block 19C), although there was no spraying was implemented Block 19C. In summary, the combination of complete management practices at Block 18C seems to have some effect on the CPB population at Blocks 17 and 19C because all blocks are adjacent to each other. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cocoa" title="cocoa">cocoa</a>, <a href="https://publications.waset.org/abstracts/search?q=theobroma%20cacao" title=" theobroma cacao"> theobroma cacao</a>, <a href="https://publications.waset.org/abstracts/search?q=cocoa%20pod%20borer" title=" cocoa pod borer"> cocoa pod borer</a>, <a href="https://publications.waset.org/abstracts/search?q=conopomorpha%20cramerella" title=" conopomorpha cramerella"> conopomorpha cramerella</a> </p> <a href="https://publications.waset.org/abstracts/29722/implementation-of-complete-management-practices-in-managing-the-cocoa-pod-borer" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/29722.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">445</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">52</span> Characteristic and Prevalence of Cleft Lip and Palate Patient in Bandung Cleft Lip and Palate Center: A Descriptive Study</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Kusmayadi%20Ita%20Nursita">Kusmayadi Ita Nursita</a>, <a href="https://publications.waset.org/abstracts/search?q=Sundoro%20Ali"> Sundoro Ali</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Cleft lip and palate are one of the most common congenital abnormalities in the face. It could happen to anyone, but mostly affect Asian population including Indonesia. Factors that influence the occurrence of cleft lip and palate vary from genetic to environmental factors. Children with cleft lip and palate will often have various problems such as airway disorders, eating disorders, speech and language developmental disorders, hearing disorders and psycho-social disorders, one of which is caused by appearance disorders. During his life, the child will experience multidisciplinary surgery and non-surgical treatment and can be accompanied by a psychological and financial burden on himself and his family. In Indonesia, there are no detailed scientific data on the prevalence and characteristic of cleft lip and palate patients. It was mainly caused by the absence of a national level organization, differences in geographical location, and the absence of national guidelines. This study aimed to describe the characteristic and prevalence of cleft lip and palate patients in Bandung Cleft Lip and Palate Center from 1 January 2016 to 31 December 2017. A total of 560 patients were included in the study. The highest percentage of cases are left unilateral cleft lip and palate with higher number of female patient and labioplasty as the most often surgical procedure to be conducted in Bandung Cleft Lip and Palate Center. In order to improve quality of life in patients with cleft lip and palate, early recognition and early treatment based on actual comprehensive data should be conducted. The data from Bandung Cleft Lip and Palate Center as one of the largest center of cleft lip and palate in West Java Indonesia hopefully could provide a big step of further comprehensive data collection in Indonesia and for the better overall management of cleft lip and palate in the future. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cleft%20lip" title="cleft lip">cleft lip</a>, <a href="https://publications.waset.org/abstracts/search?q=cleft%20palate" title=" cleft palate"> cleft palate</a>, <a href="https://publications.waset.org/abstracts/search?q=characteristic" title=" characteristic"> characteristic</a>, <a href="https://publications.waset.org/abstracts/search?q=prevalence" title=" prevalence"> prevalence</a> </p> <a href="https://publications.waset.org/abstracts/102691/characteristic-and-prevalence-of-cleft-lip-and-palate-patient-in-bandung-cleft-lip-and-palate-center-a-descriptive-study" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/102691.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">137</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">51</span> The Friendship Network Stability of Preschool Children during One Pedagogical Season</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Yili%20Wang">Yili Wang</a>, <a href="https://publications.waset.org/abstracts/search?q=Jarmo%20Kinos"> Jarmo Kinos</a>, <a href="https://publications.waset.org/abstracts/search?q=Tuire%20Palonen"> Tuire Palonen</a>, <a href="https://publications.waset.org/abstracts/search?q=Tarja-Riitta%20Hurme"> Tarja-Riitta Hurme</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This longitudinal study aims to examine how five- and six-year-old children’s peer relationships are formed and fostered during one preschool year in a southwestern Finnish preschool. All 16 kindergarteners participated in the study (at dyad level N=240; i.e., 16 x 15 relationships among the children). The children were divided into four daily groups, based on the table order during the daily routines, and four intervention groups, based on the teachers’ pedagogical plan. During the intervention, one iPad was given to each group in order to stimulate interaction among peers and, thus, enable the children to form new peer relationships. In the data gathering, sociometric nomination techniques were used to investigate the nature (i.e., stability and mutuality) of the peer relationships. The data was collected five times during the year to see what kind of peer relationship changes occurred at the dyad level and the group level, i.e., in establishing and losing friendship ties among the children. Social network analyses were used to analyze the data. The results indicate that the children’s preference for gender segregation was strong compared to age preference and intervention. In all, the number of reciprocal friendship ties and the mutual absence of friendship ties increased towards the end of the year, whereas the number of unilateral friendship ties decreased. This indicates that children’s nominations narrow down; thus, the group structure becomes more crystalized. Instead of extending their friendship networks, children seek stable and mutual relationships with their peers in their middle childhood years. The intervention only had a slightly negative influence on children’s peer relationships. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=intervention%20study" title="intervention study">intervention study</a>, <a href="https://publications.waset.org/abstracts/search?q=peer%20relationship" title=" peer relationship"> peer relationship</a>, <a href="https://publications.waset.org/abstracts/search?q=preschool%20education" title=" preschool education"> preschool education</a>, <a href="https://publications.waset.org/abstracts/search?q=social%20network%20analysis" title=" social network analysis"> social network analysis</a>, <a href="https://publications.waset.org/abstracts/search?q=sociometric%20ratings" title=" sociometric ratings"> sociometric ratings</a> </p> <a href="https://publications.waset.org/abstracts/61423/the-friendship-network-stability-of-preschool-children-during-one-pedagogical-season" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/61423.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">273</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">50</span> Effects of Handgrip Isometric Training in Blood Pressure of Patients with Peripheral Artery Disease</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Raphael%20M.%20Ritti-Dias">Raphael M. Ritti-Dias</a>, <a href="https://publications.waset.org/abstracts/search?q=Marilia%20A.%20Correia"> Marilia A. Correia</a>, <a href="https://publications.waset.org/abstracts/search?q=Wagner%20J.%20R.%20Domingues"> Wagner J. R. Domingues</a>, <a href="https://publications.waset.org/abstracts/search?q=Aline%20C.%20Palmeira"> Aline C. Palmeira</a>, <a href="https://publications.waset.org/abstracts/search?q=Paulo%20Longano"> Paulo Longano</a>, <a href="https://publications.waset.org/abstracts/search?q=Nelson%20Wolosker"> Nelson Wolosker</a>, <a href="https://publications.waset.org/abstracts/search?q=Lauro%20C.%20Vianna"> Lauro C. Vianna</a>, <a href="https://publications.waset.org/abstracts/search?q=Gabriel%20G.%20Cucato"> Gabriel G. Cucato</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Patients with peripheral arterial disease (PAD) have a high prevalence of hypertension, which contributes to a high risk of acute cardiovascular events and cardiovascular mortality. Strategies to reduce cardiovascular risk of these patients are needed. Meta-analysis studies have shown that isometric handgrip training promotes reductions in clinical blood pressure in normotensive, pre-hypertensive and hypertensive individuals. However, the effect of this exercise training on other cardiovascular function indicators in PAD patients remains unknown. Thus, the aim of this study was to analyze the effects of isometric handgrip training on blood pressure in patients with PAD. In this clinical trial, 28 patients were randomly allocated into two groups: isometric handgrip training (HG) and control (CG). The HG conducted the unilateral handgrip training three days per week (four sets of two minutes, with 30% of maximum voluntary contraction with an interval of four minutes between sets). CG was encouraged to increase their physical activity levels. At baseline and after eight weeks blood pressure and heart rate were obtained. ANOVA two-way for repeated measures with the group (GH and GC) and time (pre- and post-intervention) as factors was performed. After 8 weeks of training there were no significant changes in systolic blood pressure (HG pre 141 ± 24.0 mmHg vs. HG post 142 ± 22.0 mmHg; CG pre 140 ± 22.1 mmHg vs. CG post 146 ± 16.2 mmHg; P=0.18), diastolic blood pressure (HG pre 74 ± 10.4 mmHg vs. HG post 74 ± 11.9 mmHg; CG pre 72 ± 6.9 mmHg vs. CG post 74 ± 8.0 mmHg; P=0.22) and heart rate (HG pre 61 ± 10.5 bpm vs. HG post 62 ± 8.0 bpm; CG pre 64 ± 11.8 bpm vs. CG post 65 ± 13.6 bpm; P=0.81). In conclusion, our preliminary data indicate that isometric handgrip training did not modify blood pressure and heart rate in patients with PAD. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=blood%20pressure" title="blood pressure">blood pressure</a>, <a href="https://publications.waset.org/abstracts/search?q=exercise" title=" exercise"> exercise</a>, <a href="https://publications.waset.org/abstracts/search?q=isometric" title=" isometric"> isometric</a>, <a href="https://publications.waset.org/abstracts/search?q=peripheral%20artery%20disease" title=" peripheral artery disease"> peripheral artery disease</a> </p> <a href="https://publications.waset.org/abstracts/66087/effects-of-handgrip-isometric-training-in-blood-pressure-of-patients-with-peripheral-artery-disease" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/66087.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">329</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">49</span> Molecular Epidemiology of Circulating Adenovirus Types in Acute Conjunctivitis Cases in Chandigarh, North India</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mini%20P.%20Singh">Mini P. Singh</a>, <a href="https://publications.waset.org/abstracts/search?q=Jagat%20Ram"> Jagat Ram</a>, <a href="https://publications.waset.org/abstracts/search?q=Archit%20Kumar"> Archit Kumar</a>, <a href="https://publications.waset.org/abstracts/search?q=Tripti%20Rungta"> Tripti Rungta</a>, <a href="https://publications.waset.org/abstracts/search?q=Jasmine%20Khurana"> Jasmine Khurana</a>, <a href="https://publications.waset.org/abstracts/search?q=Amit%20Gupta"> Amit Gupta</a>, <a href="https://publications.waset.org/abstracts/search?q=R.%20K.%20Ratho"> R. K. Ratho</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Human adenovirus is the most common agent involved in viral conjunctivitis. The clinical manifestations vary with different serotypes. The identification of the circulating strains followed by phylogenetic analysis can be helpful in understanding the origin and transmission of the disease. The present study aimed to carry out molecular epidemiology of the adenovirus types in the patients with conjunctivitis presenting to the eye centre of a tertiary care hospital in North India. Materials and Methods: The conjunctival swabs were collected from 23 suspected adenoviral conjunctivitis patients between April-August, 2014 and transported in viral transport media. The samples were subjected to nested PCR targeting hexon gene of human adenovirus. The band size of 956bp was eluted and 8 representative positive samples were subjected to sequencing. The sequences were analyzed by using CLUSTALX2.1 and MEGA 5.1 software. Results: The male: female ratio was found to be 3.6:1. The mean age of presenting patients was 43.95 years (+17.2). Approximately 52.1% (12/23) of patients presented with bilateral involvement while 47.8% (11/23) with unilateral involvement of the eye. Human adenovirus DNA could be detected in 65.2% (15/23) of the patients. The phylogenetic analysis revealed presence of serotype 8 in 7 patients and serotype 4 in one patient. The serotype 8 sequences showed 99-100% identity with Tunisian, Indian and Japanese strains. The adenovirus serotype 4 strains had 100% identity with strains from Tunisia, China and USA. Conclusion: Human adenovirus was found be an important etiological agent for conjunctivitis in our set up. The phylogenetic analysis showed that the predominant circulating strains in our epidemic keratoconjunctivitis were serotypes 8 and 4. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=conjunctivitis" title="conjunctivitis">conjunctivitis</a>, <a href="https://publications.waset.org/abstracts/search?q=human%20adenovirus" title=" human adenovirus"> human adenovirus</a>, <a href="https://publications.waset.org/abstracts/search?q=molecular%20epidemiology" title=" molecular epidemiology"> molecular epidemiology</a>, <a href="https://publications.waset.org/abstracts/search?q=phylogenetics" title=" phylogenetics"> phylogenetics</a> </p> <a href="https://publications.waset.org/abstracts/55742/molecular-epidemiology-of-circulating-adenovirus-types-in-acute-conjunctivitis-cases-in-chandigarh-north-india" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/55742.pdf" target="_blank" class="btn 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