Frey Syndrome Complicating Parotidectomy: A Case Report And Review Of Literature

The parotid gland is one of the major salivary glands located on the face. It is commonly affected by diseases necessitating its surgical removal. The facial nerve is in intimate contact with this structure and can easily be damaged during operation on this gland. Parotidectomy is the surgical operation done to remove part or the whole of the parotid gland. There are several types of parotidectomies. These may be superficial, total, total conservative, radical or extended radical. A number of complications may ensue following this procedure. Frey syndrome is one of such complications but uncommon. It is therefore the aim of this paper to present this index case with a review of literature. Key words: Frey syndrome, Parotidectomy, Complication

The Effect of Temperature on Leaf and Rhizome Growth Rates in the Seagrass Halophila Ovalis (R. Brown) Hooker f

Seagrass are marine flowering plants that complete their life cycle submerged in water. They are ecologically and economically important as habitat and food source for the majority of marine biological species. Growth and reproduction in seagrass is affected by environmental parameters such as temperature, salinity, tidal current and nutrients. Following the current global warming trend, ocean temperatures in Tanzania are predicted to increase by 2-4oC from current levels of 27-28oC. Changes in climate are thus likely to affect the reproduction and survival of seagrass in this region. Investigating factors affecting seagrass growth can assist to predict impacts of climate variability and change such as increase in temperature in the marine environment. In the present study Halophilaovalis (R. Brown) Hooker was studied as an indicator of the influence of temperature on growth. Samples were collected from Kunduchi beach, Dar es Salaam and grown in the laboratory under variable temperatures of 22-23, 25-26, 27-28, 30-31 and 33-34ºC, for 30 days. The length of new and mature leaves was measured at two days intervals; leaf number, leaf weight, rhizome length and rhizome weight were determined at the end of the experiments. Results suggest 25-26ºC to be the optimum temperature for growth of Halophila ovalis. Lowest growth rates were observed at temperatures of 22-23 and 30-31ºC, while samples grown at 33-34ºC survived only for four days. From these results the anticipated temperature increase of 2-4.5 ºC will lead to change in seagrass distribution, abundance and possibly disappearance of higher temperature intolerant species

Tip Allocation: A Compliance Study tor Restaurants

Survey research of the commercial food service industry with regard to tips and tip allocation revealed that 50 percent of restaurateurs require that employees report a minimum amount or percentage of sales and over 50 percent which allocate tips report them as employee income. The authors discuss these results and point out other problems

Navigating Covid-19 Challenges – How Physical Education Teachers Skillfully Applied Their Expertise

Physical education (PE) is challenging to teach in a face-to-face setup due to its rigorous physical activities (PA). This challenge intensified with the onset of the COVID-19 pandemic, prompting a shift toward exclusively adopting distance learning education (DLE) or online education (OE). Since there is a lack of elaboration on the challenges encountered by PE teachers in teaching the subject in such a setup and understanding the solutions they have implemented for its successful delivery, this study reviews available studies to understand this case. Using a systematic literature review (SLR) bounded by inclusion-exclusion criteria, 39 Philippine studies were screened and considered for review. Despite PE teachers confronting a series of challenges and these hurdles demanding a paradigm shift in teaching strategies, particularly in maintaining physical engagement and connection in a virtual setting, these challenges spurred resilience and innovation. In particular, interprofessional collaboration for pedagogical resilience, adaptation of innovative pedagogies, improving technological proficiency, and dealing with remote environments are commendable actions that PE teachers demonstrated in times of DLE/OE. The study concludes that PE teachers demonstrated a commitment to collective success, similar to other subjects, by providing students with a diverse educational journey despite the nature of the subject

Alcohol intake in relation to fatal and non-fatal incident coronary heart disease and stroke in the EPIC-CVD study.

ABSTRACT Objective To investigate the association between alcohol consumption (at baseline and over lifetime) and non-fatal and fatal coronary heart disease (CHD) and stroke. Design Multicentre case-cohort study. Setting A study of cardiovascular disease (CVD) aetiology (EPIC-CVD) within the European Prospective Investigation into Cancer and nutrition cohort from 8 European countries. Participants A case-cohort study of 32 549 participants without baseline CVD, comprised of incident CVD cases and a subcohort for comparison. Main outcome measure Non-fatal and fatal CHD and stroke (including ischaemic and haemorrhagic). Results There were 9307 non-fatal CHD, 1699 fatal CHD, 5855 non-fatal stroke and 733 fatal stroke events. Baseline alcohol intake was inversely associated with non-fatal CHD, with a hazard ratio of 0.94 (95% confidence interval 0.92 to 0.96) per 12 g/day higher intake. There was a J-shaped association between baseline alcohol intake and risk of fatal CHD (hazard ratios=0.83 [95% confidence interval 0.70 to 0.98], 0.65 [0.53 to 0.81], and 0.82 [0.65 to 1.03] for categories 5.0-14.9 g/day, 15.0-29.9 g/day, and 30.0-59.9 g/day, respectively, compared with 0.1-4.9 g/day. In contrast, hazard ratios for non-fatal and fatal stroke risk were 1.04 (95% confidence interval 1.02 to 1.07), and 1.05 (0.98 to 1.13) per 12 g/day increase in baseline alcohol intake, respectively, including broadly similar findings for ischaemic and haemorrhagic stroke. Associations with cardiovascular outcomes were broadly similar with average lifetime alcohol consumption as for baseline alcohol intake, and across the eight countries we studied. There was no strong evidence for interactions of alcohol consumption with smoking status on the risk of CVD events. Conclusions Alcohol intake was inversely associated with non-fatal CHD risk but positively associated with risk of different stroke subtypes, highlighting the opposing associations of alcohol intake with different cardiovascular disease types and strengthening the evidence for policies to reduce alcohol consumption.This work was supported by the Direction Générale de la Santé (French Ministry of Health) (grant GR-IARC-2003-09-12-01). EPIC-CVD has been supported by the European Union Framework 7 (HEALTH-F2-2012-279233), the European Research Council (268834), the UK Medical Research Council (G0800270 and MR/L003120/1), the British Heart Foundation (SP/09/002 and RG/08/014 and RG13/13/30194), and the UK National Institute of Health Research. The establishment of the random subcohort was supported by the EU Sixth Framework Programme (FP6) (grant LSHM_CT_2006_037197 to the InterAct project) and the Medical Research Council Epidemiology Unit (grants MC_UU_12015/1 and MC_UU_12015/5)

Lacerated Lips and Lush Landscapes: Constructing This-Worldly Theological Identities in the Otherworld

When Irenaeus juxtaposed tradition and heresy, he moved away from the Pauline usage, which centered primarily upon incorrect behavior (See 1 Cor 11: 19, Gal 5 :20). lrenaeus\u27 definition of heresy, however, does not indicate that all early Christians prioritized belief over behavior, or even maintained orthodoxy and orthopraxis as separate categories. In the otherworldly spaces of the apocryphal apocalypses doxa and praxis seem to be intertwined, and little or no distinction is made between belief and behavior. Instead, in the Otherworld the categories of primary importance are righteous/unrighteous, good/evil, Christian/Other. The Otherworld is a place in which sins can be sorted and the identity markers which might have been overlooked or are difficult to see in this world can be seen more clearly. And yet, we are left to wonder how that otherworldly clarity maps onto the lived experience of the ancient audiences of these apocalypses. Thus, we will begin by reflecting upon the ability of these apocalyptic texts to create (and recreate) Christian identity by either describing real categories of people, or by creating the categories themselves, and so prescribing reality. In each of the apocalypses that we will discuss the reader learns that his or her identity is determined for all of eternity by the choices that are made in this world. In this regard, each depiction of the otherworld establishes its own identity markers, isolating certain beliefs and behaviors as distinctively Christian. What is startling about the definitions of Christian belief and practice that emerge from each text is that they are rather expansive, covering far more territory than any creed or council. Our discussion will demonstrate that while creedal definitions of orthodoxy ( as well as the apocalyptic definitions of correct belief that mirror them) were often aimed at labeling specific groups as other, the apocalyptic depictions of the otherworld were attempting to be either exhaustive or open-ended, imagining a host of practices that could be used to frame Christian identity. In these imaginary spaces, the theological identities that were crafted could not simply be summarized by simple binaries like orthodoxy/heterodoxy, oppressed/oppressor, or even sinner/sinless. Instead, the apocalyptic visions, which on the surface seem to deal in dichotomies, paradoxically proliferate a range of Christian practices

Boosts and Setbacks of Implementing Indigenous Filipino Games: Perspectives from Curriculum’s Stakeholders

Filipinos had enjoyed playing indigenous games long before any other games. Little is known about traditional games and their perspectives among educational stakeholders who support their preservation in the educational system for emerging countries like the Philippines. This study aimed to explore the viewpoints of educational stakeholders regarding integrating indigenous games into the curriculum. A scoping design was used to review pertinent journal articles. Thus 14 were considered after screening and filtering the searched records in three databases. It was found that stakeholders have both positive and negative perspectives on the said implementation. They perceived that implementing indigenous Filipino games a) promotes cultural heritage, b) facilitates convenient learning, and c) strengthens the foundation values, health, and socialization. However, there are some setbacks, like a) limitations in using traditional games in the classroom and b) the endangerment of indigenous Filipino games due to the fast growth of e-games. Therefore, a call to action among curriculum implementers to revisit what areas need to be strengthened in implementing indigenous games despite the continuous advancements of technology that paved the emergence of modern games and even the prioritization of sports games. Although support from the community is needed, and more mandates from the local government to promote these games in playing, especially outside school

Trends in the availability and usage of electrophysical agents in physiotherapy practices from 1990 to 2010: A review

This is the Pre-print version of the Article. The official published version can be accessed from the link below - Copyright @ 2012 Maney PublishingBackground: The use of electrophysical agents has a historically important role in physiotherapy practice. There are anecdotal reports that the availability and usage of electrotherapy modalities are declining, which may have implications for physiotherapy practice. The aim of this literature review was to provide scientific evidence on electrotherapy usage in the last 20 years by identifying trends in availability, use, and non-use of nine electrotherapeutic modalities in physiotherapy practices during 1990s and 2000s. Methods: Review of empirical studies published in the English language from 1990 to 2010 and identified through searching online bibliographic databases, which included: Medline/OvidSP, PubMed Central, CINAHL/EBSCOhost, ScienceDirect, Scopus, ISI Web of Science, and Google Scholar. Findings: In the last 20 years, ultrasound availability and usage show increasing trends in several countries. The availability and use of pulsed shortwave diathermy and laser have shown steady trends. Transcutaneous electrical nerve stimulation, interferential, and biofeedback availability and usage have shown increasing trends in the UK and decreasing trends in Australia and the Republic of Ireland. Trends of continuous shortwave diathermy availability and use are declining irrespective of the country of the study. The availability and usage of microwave diathermy and H-wave show steeply declining trends, while there is a sharp rise in their non-availability over the last several years. Conclusions: The availability and use of electrophysical agents have greatly changed in the last 20 years. Declining trends in the availability and usage along with increasing trend of non-availability of electrotherapy modalities may have implications for electrotherapy education, training, and practice in the coming years.This study was funded by Health & Safety Executive, UK (grant no. 4371/R47.022)

The value of source data verification in a cancer clinical trial

Background Source data verification (SDV) is a resource intensive method of quality assurance frequently used in clinical trials. There is no empirical evidence to suggest that SDV would impact on comparative treatment effect results from a clinical trial. Methods Data discrepancies and comparative treatment effects obtained following 100% SDV were compared to those based on data without SDV. Overall survival (OS) and Progression-free survival (PFS) were compared using Kaplan-Meier curves, log-rank tests and Cox models. Tumour response classifications and comparative treatment Odds Ratios (ORs) for the outcome objective response rate, and number of Serious Adverse Events (SAEs) were compared. OS estimates based on SDV data were compared against estimates obtained from centrally monitored data. Findings Data discrepancies were identified between different monitoring procedures for the majority of variables examined, with some variation in discrepancy rates. There were no systematic patterns to discrepancies and their impact was negligible on OS, the primary outcome of the trial (HR (95% CI): 1.18(0.99 to 1.41), p = 0.064 with 100% SDV; 1.18(0.99 to 1.42), p = 0.068 without SDV; 1.18(0.99 to 1.40), p = 0.073 with central monitoring). Results were similar for PFS. More extreme discrepancies were found for the subjective outcome overall objective response (OR (95% CI): 1.67(1.04 to 2.68), p = 0.03 with 100% SDV; 2.45(1.49 to 4.04), p = 0.0003 without any SDV) which was mostly due to differing CT scans. Interpretation Quality assurance methods used in clinical trials should be informed by empirical evidence. In this empirical comparison, SDV was expensive and identified random errors that made little impact on results and clinical conclusions of the trial. Central monitoring using an external data source was a more efficient approach for the primary outcome of OS. For the subjective outcome objective response, an independent blinded review committee and tracking system to monitor missing scan data could be more efficient than SDV