The purpose of the present study was to introduce stochastic search variable selection (SSVS) as a procedure to identify a subset of important predictors of gambling harm. The target set of predictors were dimensions of trait impulsivity, gambling cognitions, and gambling motivations. Five types of gambling harm (feeling one has a personal problem; social criticism; feeling guilt; health; and, financial) were measured by the Problem Gambling Severity Index. Casino patrons completed the measures. As a first step, we identified the significant predictors that would be included in modelling an aggregate harm score. The most important predictors, the cognition that one is not able to stop gambling, and the motivation to escape or avoid life stressors, were positively associated with overall harm. Two weaker, but statistically significant, predictors were negatively associated with harm: sensation-seeking and illusion of control. Although a perceived inability to stop gambling was the most important predictor of each individual harm, the pattern of predictors varied across harms. For example, sensation-seeking was an important predictor only for the belief that one has a gambling problem, and escape/avoidance motivation was strongly predictive of financial harm. The results suggest that primary interventions designed to mitigate harm should address the belief that the gambler is unable to stop gambling, and motivations related to escape/avoid life stressors. Other interventions would be tailored to the specific harms experience by the gambler.
Endoscopic Outcome of non complicated Gastric Ulcer following Standard Medical Treatment in sub-Saharan African Population
Background.The endoscopic outcome of gastric ulcers is not well described in sub-Saharan Africa. This study was therefore conducted in order to track the endoscopic outcome of non complicated gastric ulcers following standard medical treatment in sub-Saharan African population. Methods.This was a prospective cohort study conducted from January to July 2018 in three tertiary healthcare centers in Yaounde (Cameroon).Gastric ulcers and gastric H. pylori infection were diagnosed and monitored by upper digestive endoscopy performed before and at least four weeks following treatment with proton pump inhibitors alone or combined with antibiotics depending on H. pylori status. A complete case analysis was done using the SPSS software, version 21.0. p-values ≤0.05 were considered as significant. Results. Ninety-six patients (54.2% males) with a mean age of 55.3 ± 14.9 years were initially enrolled. In most patients, the ulcer frequently was unique (76%) and the antrum was the commonest localization 76 (79.2%). Among patients with H. pylori infection, the quadruple therapy was the most prescribed treatment 41 (87.2%) patients. There were 60 (62.5%) subjects lost to follow-up. Of the 36 (37.5%) patients who underwent repeat endoscopy, 26 (72.2%) had ulcer healing and 8/13 patients had successful H. pylori eradication. A delay of repeat endoscopy >8 weeks was the only predictor of non-healing of the ulcer: relative risk 0.6[95% CI: 0.3-1.08], p = 0.05. Conclusion.Ulcer healing was found in nearly 2/3 of patients and H. pylori eradication in almost ¾ of patients. This study should be repeated in a large sample.
ORGANIZATIONAL COMMUNICATION AS A CORRELATE OF STAFF PERFORMANCE IN STATE POLYTECHNIC LIBRARIES IN NORTH CENTRAL, NIGERIA
The major responsibility of human resources is to facilitate service provision and delivery. Libraries in the polytechnic system, are established to provide high quality information services in support of teaching and research for academic staff members as well as acquisition of knowledge of students. The study was carried out for the purpose of determining the relationship between organizational communication and staff performance in State polytechnic libraries in North Central, Nigeria. A correlational survey design was used to find out the relationship between organizational communication and staff performance in the State polytechnic libraries in North Central, Nigeria. The population of the study consisted of one hundred and eight (108) professionals (librarians), para-professionals (library officers) and non-professionals (computer operators and Administrative staff) in the State polytechnic libraries in the North Central, Nigeria. Since the population is not too large to manage, there was no sampling. Questionnaire and interview were used for data collection. Out of the 108 copies of questionnaire distributed, 94 copies were returned and used for data analysis. This gave a response rate of 87%. The data collected were analyzed using Pearson Product Moment Coefficient for answering research question 2 while mean and standard deviation were used to answer questions 1, 3 and 4 . The responses from the interview were analyzed qualitatively while regression analysis was used to test the two null hypotheses at 0.05 level of significance. The results indicate that the value of correlation coefficient(r) of Organizational Communication is 0.257 showing low relationship between Organizational Communication and Staff performance. The study also showed that the problems that militate against staff performance in the state polytechnic libraries are, among others, the absence of effective communication between the leadership and the staff, no opportunity for team work, supervisors don’t listening ears to their subordinates, etc. The recommendations include; written…
Importance: As the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic spreads, increasing cases of dermatologic manifestations of the disease continue to be reported. Observations: In this general review of the case reports, case series, and other systematic reviews on this subject, several patterns of cutaneous lesions have been compiled. These include viral exanthems, papulovesicular, pernio-like, vasculopathy-related, and other miscellaneous rashes. Conclusions and Relevance: While clinical observations and subjective cases of rashes associated with SARS-CoV-2 are important to furthering our research and study of this viral disease, we as clinicians must be cautious in attributing causation with correlation. Continued research and study are needed before we can attribute a source for these dermatologic manifestations. Funding: This research was partially support by IMPACT funds to NY from the School of Medicine, University of Alabama at Birmingham.
Treatment of Recurrent Aphthous Stomatitis by Crude Topical Sesame Seed Oil in Comparison with Crude Topical Pumpkin Seed Oil
Background: Recurrent aphthous stomatitis (RAS) is the most common disease of the oral mucosa in the general population. Multifactorial etiopathogenesis has been suggested to explain the cause of RAS but the exact etiology and pathogenesis still unknown. Its therapy whether topical or systemic can induce clearance but the relapse rate is high. Objective: To evaluate the efficacy and prophylactic effects of topical Sesame seed oil in comparison with Pumpkin seed oil in the management of recurrent aphthous stomatitis. Patients and Methods: This is a single, blinded, clinical, therapeutic, comparative study where 35 patients with early onset RAS were examined in Center of Dermatology -Baghdad Teaching Hospital, Medical City ,Baghdad, Iraq from April 2018-October 2019. All socio-demographic data related to the disease was obtained from each patient, in addition to clinical examination was performed for each patient. Patients were divided into 2 groups: Group A (15 patients) used crude Sesame seed oil twice daily. Group B (20 patients) was instructed to use Pumpkin seed oil in a similar way to Group A. Short term assessment of each patient of both groups was done to evaluate the therapeutic effect of drug by using oral clinical manifestation index (OCMI). A long term assessment was done for each patient to assess the prophylactic effect of drug by using OCMI before, after 1, 2 and 3 months of therapy. They were seen regularly to record any local or systemic side effects. Results: The patients enrolled in this study were 19 (54.3%) males and 16(45.7%) females, male to female ratio was 1.1: 1. Their ages ranged from 12-60 (35.33 ± 12.06) years. The mean of OCMI in Group A started to decline directly after 4 days of therapy and went to its lower level after 8 days of therapy, and it was statistically significant (P value
Clinical Study of Anti-aging Effect of Sequential Applications of Biositmulating Peeling Device and Booster Injections
Background: The global request for the minimally invasive treatments lowering down ageing process grows. The author conducted a study introducing a new approach in this field. Objective: The aim of the study was to evaluate, using 3D photosystem the effect of the sequential applications of biostimulating peeling device and booster injections in facial rejuvenation. Patients and methods: The protocol consists in the sequential application of a special peeling solution with an innovative formulation following by intradermal injections of a booster solution on 10 healthy volunteers (mean age 52) once a week for 6 weeks (one week peeling, one week booster). After 8 weeks of treatment objective evaluation was made using 3D photosystem with considerations of wrinkles, pores and uniformity of the skin. Results: The treatment protocol was found by patients not painful, pleasurable with no downtime. No side effects were reported during or after study conclusion. All parameters (wrinkles, pores, skin uniformity) improved 8 weeks after the protocol administration. The improvement of pore condition from T1 (score 3,37) to T2 (score 4,57) was 1,2 points, wrinkle condition from T1 (3,47) to T2 (5,93) was 2,46 points, uniformity of the skin from T1 (2,53) to T1 (4,03) was 1,5 points. The average improvement from T1 (3,12) to T2 (4,85) was 1,73 points.
This is a case-related research article, as I know it was written in the first article on how homeopathy can be used to treat coronavirus? Case study of people suffering from close symptoms of coronavirus have joined. In this I have experimented with the traditional medicines of homeopathy like Ars alb, Influenzum, Bell, Baptisia Dilutions and Aconit Q, Ocimum SancQ, Eup perf Q, Bapti Q, Bryoni Q, Renaculus B with some special patent medicines. The three survived the disease within a week through homeopathic medicines, My point is that people who are on Coronetine and who are on alternative treatment for coronavirus, use these homeopathic medications within 2 hours, and then the coronavirus slows down. So it is good to have a worldwide investigation.
The article discusses anger and anxiety in the context of recovery. It relates social determinants of health to individual pathology and how an individuals stress level is related to one’s community. How stressors such as, drug infected areas, lack of access to parks and playgrounds, quality education, etc impact significantly on a person’s anxiety is discussed. To help facilitate healthy change the use of peer specialists and partnering with the faith-based community can create a more comprehensive network of supportive allies.
Topical Therapy of Vitiligo Using Sunlight Exposure with Lactic Acid Cream (10%) Versus Methoxsalene Solution
Background Vitiligo is a common autoimmune disease to which multiple therapies have been used. Lactic acid in different modes of preparation like 15% topical solution and 1% intralesional injection has been tried effectively in treatment of vitiligo. Objectives to test the efficacy of lactic acid cream10% with sunlight exposure in treatment of vitiligo, and to be compared with topical methoxsalene solution with sunlight exposure. Materials and Methods This is an interventional, therapeutic, single blinded, comparative study that was conducted in the Center of Dermatology, Medical City, Baghdad, Iraq, between April 2018 and June 2019. Patients with generalized and localized vitiligo were included. The diagnosis of vitiligo was based on clinical characteristic loss of skin pigmentation and supported by woods light examination. The demographic features were recorded. Physical examination was done to determine the site and number of patches per patient. The patients were divided into two groups: group A patients, were treated with lactic acid 10% cream followed by sunlight exposure. While in group B, the patients were treated with topical methoxsalene solution followed by sunlight exposure. All patients were assessed, and the surface area of each patch was measured before starting the treatment and every month for 3 months of treatment. The side effects were also recorded. A follow up visit after 3 months was done. A reduction rate in the surface area of vitiliginous patch was calculated. Results sixty patients, 41 (68.3%) females and 19 (31. 7%) males with a female to male ratio was 2.15:1. Their ages ranged between 3 – 42 years with mean± SD of 23.36±11.95 years. The disease duration ranged between 12-120 months. Total number of the lesions was 78 patches with a mean of 1.3 lesions per patient. No statistically significant differences were found between the two groups regarding demographic nor clinical features…
Background: Follicular dermatoses are skin diseases that involved the hair follicle either early or during the course of the disease. Objective: To collect a number of dermatoses where there is follicular involvement, to be studied and analysed in order to reach a conclusion that hair follicles are the most important target area in the pathogenesis of these dermatoses. Patients and Methods: This is a descriptive, clinical and histopathological study that was carried out at the Centre of Dermatology and Venereology, Baghdad Teaching Hospital, Medical City, Baghdad, Iraq during the period from December 2017 to August 2019. Forty patients with follicular dermatoses were included and all socio- demographic data related to the disease was obtained from each patient, in addition to clinical examination was performed for each patient. Lesional biopsies were done for 20 patients, for histopathological examination by Haematoxylin and Eosin (H&E). Results: The mean age ± SD was 30.2±16.96 years, 25 patients were males and 15 patients were females, the clinical diagnosis of follicular diseases was established for all skin diseases included in the present work. The histopathological findings of lesional biopsies were mainly: perifollicular lymphocytes, follicular invasion and degeneration, follicular plugging, fibrous tract remnant, perifollicular melanophages and hair follicle cyst. Conclusion: The result of the present study does encourage us to suggest that almost all skin diseases included in this study start initially on the hair follicle and then spread to involve the adjacent epidermis.