Two years since the beginning of pandemic, and now it is starting to subside, face-to-face learning system has been applied as usual. Changes in system, from online learning, change atmosphere conditions environment. Then, affected students’ experiences feelings during process. This study uses a qualitative approach with photo-elicitation interviews (PEI) explore positive four elementary school...

Disagreements over the management and allocation of transboundary freshwater resources have become increasingly prominent in international relations. Serious diplomatic tensions surround Jordan, Mekong, Nile, Rio Grande, Silala, Syr Darya Amu Darya, Tigris Euphrates rivers, to name just most examples among world’s more than three hundred shared watercourses. Nor is there any reason think will s...

Background: Pulmonary lymphangiectasia (PL) is a rare disease characterized by dilation of the pulmonary lymphatic vessels. PL should be considered in differential diagnosis infants with pleural effusion, especially presence chylothorax. Case Presentation: A 3-week-old neonate presented tachypnea, cough, and reluctance to feed. Work-up found bilateral chylous effusion. The patient was initially...

The current analysis aimed to evaluate the role of tranexamic acid in preventing seroma formation after ventral hernia repair. This cross-sectional study was conducted at Bakhtawar Amin Trust Hospital Multan from 20th Jan 2020 2021. included patients diagnosed with Those cirrhosis, strangled hernias, uncontrolled diabetes mellitus, and bleeding disorders were excluded. volume measured using a v...

Sixty-three patients with squamous cell carcinoma of the penis have been reviewed. The 3 year survival was 77%, and the 5 year survival was 59%. Prognosis was related to both clinical staging and histological grading. Stage I and II carcinomas were best treated by surgery alone. Stage III and IV carcinomas were best treated by local amputation of the penis combined with radiotherapy to the ingu...

The chapter on the complications of suppurative middle-ear disease, written by William Milligan, is particularly good, containing in small compass a very clear account of the symptoms, diagnosis and treatment, especially operative treatment, of these affections. We note that the author highly values the Wilde incision in the treatment of mastoid periostitis when the periostitis is primary or se...

This analysis explores associations between differing death circumstances and the course of bereavement among a sample of 540 bereaved parents. Comparisons were made between parents whose children died by suicide (n = 462), those losing children from other traumatic death circumstances (n = 54), and others whose children died from natural causes (n = 24). Results were mixed, showing suicide sur...

Maxillary dentigerous cysts although uncommon need to be considered in the differential diagnosis in children with painless facial swelling. We present a case of dentigerous cyst associated with maxillary deciduous canine and maxillary premolars manifesting as a unilateral swelling in canine region of the face. A ten-year-old boy came to oral and maxillofacial surgery unit with a painless left ...

Biologic immune modulators such as ipilimumab have demonstrated the efficacy against metastatic melanoma. We present a recent case of a 52-year-old male who initially developed mild colitis following the initiation of ipilimumab treatment for metastatic melanoma. Despite initial improvement with immediate cessation of drug and initiation of high-dose steroid therapy his clinical condition worse...

Eight consecutive patients with CT scan evidence of a bilateral infarct in the territory of the paramedian thalamic artery are reported. In seven cases the infarct also extended to the territory of the polar artery. The main symptoms were: disorder of vigilance which cleared in a few days, and hypersomnolence which lasted longer and in two patients was still present a year later; amnesia, detec...