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With the changing age structure of the population, epidemiological shifts are observed. The incidence of infectious diseases has declined over the years and has been replaced by chronic diseases such as cardiovascular, cancer, diabetes mellitus, and psychological disorders. Anxiety disorders are more common among people suffering from chronic medical disease, and the number of medical illnesses is positively associated with the presence of anxiety (RAMOS; STANLEY, 2018, p.57). Anxiety disorders are psychological disorders that have their basis in one of the most rudimentary and adaptive human functions: the innate stress response (‘fight or flight’’ response) (ABRAMOWITZ; DEACON, 2010, p. 104). So, it is possible that during our lifetime we may suffer some kind of anxiety disorder. In fact, the stress response is designed to motivate us to protect ourselves by preparing to cope with a perceived threat. But when this stress or fear is disproportionate to actual threat or danger and significantly interferes with normal daily functioning, the person is said to have an anxiety disorder (ABRAMOWITZ; DEACON, 2010, p.104, OLTHUIS; WATT; BAILE; HAYDEN; STEWART, 2015, p.12). While fear is the emotional response to an imminent threat, characterized by an acute autonomic system activation, anxiety is better described as the “anticipation of a future threat” (DONELLI; ANTONELLIA; BELLINAZZIB; GENSINIC; FIRENZUOLID, 2019, p. 2). Anxiety is a disease which affects a large part of the world population. According to (Kessler et al (2007), approximately one in four individuals are likely to have, or have previously had, an anxiety disorder.

Speech language intervention in mental health There are still a few literary reports of direct action of Speech Therapy in public care services to individuals diagnosed with mental disorders which is a current challenge for Speech language pathologist. The only mandatory presence of this professional in the minimum team is in Child and Youth Psychosocial Attention Center (PSACc), but not in the Psychosocial Attention Center (PSAC) for example, where the majority of the users are adults (SANTOS et al., 2012). If, on the one hand, mental health outpatient clinics were an important entry point for the speech therapist into the public health system, on the other hand, in front of PSAC implementation, its presence in the teams is not yet consolidated. In 20 years of SUS (Sistema Único de Saúde) and under the aegis of the advances of Psychiatric Reform it is also necessary to make consistent the practices into the field of language as a power of psychosocial rehabilitation and inclusion of children, teenagers and adults affected by psychiatric disorders of high complexity (SANTOS et al., 2012). The National Mental Health Policy (NPMH) supported by the law 10.216/2002, has as an object consolidate an open, community-based model of public mental health care. In other words, ensure the free movement of people with mental disorders through services and communities, and provide care based on the resources offered by them. The PSAC, Residential Therapeutic Services (RTS), the Centers of Coexistence and Culture and the services of integral attention (in general hospitals and PSAC) are part of a service network based on this model (BRASIL, 2001).

How can society live with anxiety and pain? The discussion about anxiety goes through dentistry as it affects the oral condition. Generalized Anxiety Disorder (GAD) is a very prevalent condition in the population, and mental disorders are often associated with disabilities that affect various activities, also being associated with various diseases and syndromes that present chronic pain, such as chronic Temporomandibular Disorder (TMD). Interactions of exposure to adverse psychosocial events and mental disorders can make the etiological diagnosis of chronic pain a major challenge. Chronic pain is an important public health problem, affecting a relevant portion of the population, interfering with psychological status, social activities and work. Therefore attention and care is needed to control anxiety and promote the quality of life of the population.

Antimicrobial resistance (and particularly antibiotic resistance) is spreading now, and there are few prospects for the development of new classes of antibiotics in the short term. However, there is today considerable awareness of the need for, and political support for, action to combat Antimicrobial resistance1. Surveillance of antimicrobial use tracks how and why antimicrobials are being used and misused by patients and healthcare providers. Monitoring antimicrobial prescription and consumption behavior provides insights and tools needed to inform therapy decisions, to assess the public health consequences of antimicrobial misuse, and to evaluate the impact resistance containment interventions2. And all reports from WHO tell us about post antibiotics era that will be start if we don’t work quickly on antibiotics resistance by all efforts and due to situations of my country in Libya now need a lot of studies to decrease corruption in budgets put for health sector. Experimental methods: Study made by pilot method and we depend on data collected from dispensing papers of medical supply ward in Al Wahda hospital. *medical statistics office of Al Wahda hospital *Al Wahda hospital laboratory. *data collected to 3 months and 477 in- patient of wahda hospital. Results and discussion: After collect data from dispensing paper that based on treatment chart, we covered 477 patients for 3 months by 2169 ceftri-702 gent-1360 aug-547 cefot-23amik. And we notice percentage of higher antibiotics use was ceftriaxone equal to 45.18 % of totality and use of broad antibiotics rather than narrow antibiotics by 84.9% ,and in all principles of clinical pharmacology direct to use narrow firstly plus first line antibiotics therapy as shown in figure 1,2 respectively. And the percentage of patients those received antibiotics that Available in hospital from all patients was 25.3% ,we found that the most higher antibiotic sensitive to bacteria was CIPRO and…

Internet usage provides environment for learning, research, entertainment, and business. Web design is crucial for market-ability of the Web page, whereas, Web information is essential for enhancing research skills for academic and institutional growth and development. This study aims to assess information provided in the various Internet sites according to several literature content compliance and gaps on URL forming rots over time as inaccessible URLs may be subject to copyright infringement. References of authors render article citations by providing URLs, DOIs, and PURLs, in which old URLs tend to be unavailable as time function which may be subject to intellectual property issue by communication obstruction of public right. Hyperlinks enable end-users to access Web content for an exclusive communication right to the public under Article 8 of WIPO Copyright Treaty as retrieval from Internet Archives and Google services had a limited ability to preserve its full content, hence, public communication results to impediment. Therefore, modern DOIs and PURLs must be preferred in citing articles as their unique identifiers are permanent, unlike old URLs that used to rot after several years.

Here we report the first case of fatal carboplatin induced immune hemolytic anemia in a patient with head and neck malignant neoplasms followed by onset of multi-organ failure. While carboplatin is an effective agent used to treat many kinds of malignant tumorigenic lesion, a number of reports about allergic side effects are present. A 64-year-old male patient diagnosed as maxillary sinus cancer was treated by radiation therapy associated with weekly intravenous infusions of carboplatin. After five times of carboplatin infusion, white blood cell and platelet counts and hemoglobin value gradually decreased, and reached to almost bottom level. Both direct and indirect coombs tests were negative. Reticulocyte count and the value of platelet-associated IgG were high level, and oral lesion-like mucous membrane pemphigoid appeared on tongue and hard plate. Recognition of the particular oral abnormality in the early stage could allow for correct diagnosis and a potentially effective therapy. Funding: This study was supported in part by JSPS KAKENHI Grant Number 18K09885.

Aiming at the problems of rice seedling raising, transplanting and so on, low production efficiency and low mechanization efficiency, we popularize the rice direct seeding technology, through investigating and studying the development status of representative rice direct seeding machine in China, analyze its basic structure and working principle, and put forward the existing problems and development suggestions of rice direct seeding machine. Research shows that rice direct seeding technology has a broad development space in China. It is necessary to further optimize the design of key components such as seed metering devices and improve independent research and development capabilities to improve the versatility and efficiency of the rice direct seeding machine, so that China’s rice direct seeding technology can Rapid development.

We present clinical and microbiological data of 5 pediatric cases of invasive Haemophilus influenzae disease, which occurred over a period of 10 months in the service area of a regional hospital of Northwestern Ontario. Four cases of invasive H. influenzae type a (Hia) disease presented either as meningitis, non-complicated and complicated pneumonia, or soft tissue infection in children between 7 months and 6 years of age. Although the cases were from different communities with no known common exposure, the Hia isolates demonstrated similar phenotypic and genotypic characteristics. One case of invasive disease due to nontypeable H. influenzae (NTHi) presented as chorioamnionitis in an adolescent. The data emphasize the significance of Hia and NTHi as a cause of serious disease in Indigenous communities.

Clinical governance is a comprehensive approach that is not given its weight as a subject at the undergraduate level because either the syllabus is full or there is not enough time. This article aims to facilitate the understanding of clinical governance in the dental office by drawing modules. These color modules and the ease of structure will tempt the eyes of undergraduate dental students. The benefit is also extended to include the general population to inform them about the importance of dental hospitals to practice a high level of clinical care, thus increasing awareness. Improving the quality of life depends on policies and procedures built on the contemporaneous reliable, evidence-based information. The teaching of clinical governance and legislation and ethics at the undergraduate level should be included in the dental syllabus. This article will cast a glance at the future of professionalism against the background of increasing expectations from patients.

Vascular neoplasms are the most common primary nonhematopoietic tumors of the spleen. They include hemangiomas, littoral cell angiomas, splenic hamartomas, lymphangiomas, hemangioendotheliomas, angiosarcomas, and Sclerosing Angiomatoid Nodular Transformation (SANT)1. SANT is a rare and benign lesion arising from the red pulp of the spleen 2.Martel et al first described the disease entity in 2004 in middle aged- adults with slight female preponderance , the etiology and pathogenesis are still not clear3, SANT poses diagnostic clinical and radiological challenges4, we present this case report with review of the literature.