August 2022

Objetivo: Reportar un caso de glaucoma asociado a partículas de cristalino posterior a una capsulotomía fáquica YAG láser bilateral, en paciente con supuesto antecedente de cirugía por catarata congénita. Observaciones: Paciente femenino quién acude a consulta por baja visual y dolor ocular bilateral 15 días posteriores a la aplicación de YAG láser. A la exploración oftalmológica presentó agudeza visual de cuenta dedosen ambos ojos y presión intraocular elevada en ambos ojos, cristalino hidratado, presencia de restos cristalinianos en cámara anterior con ruptura de cápsula anterior de forma circular en ambos ojos. Se solicitó ecografía, se inició manejo farmacológico para posteriormente realizar lensectomía vía pars plana, vitrectomía anterior y colocación de lente intraocular. Conclusiones: El seguimiento clínico adecuado modifica el tratamiento y pronóstico del paciente con glaucoma asociado a partículas del cristalino. La exploración oftalmológica completa es el pilar para prevenir errores y ofrecer una atención médica de calidad.

Background: Declined test scores, performances and the increasing difficulty in science concepts among students is one of the major problems in Philippine education. Department of Education surveys found out that one of the subjects where lower test scores are seen is science. However, despite the efforts of the educational sector, difficulties are still arising and the educational sector are still searching for ways and actions to address the problem. Objectives: The objective of this research is to explore the most preferable Pedagogical Content Knowledge as a way of addressing the assessed most difficult science conceptamong the five public secondary schools in Roxas, Isabela, Philippines. Methods: The study utilizes a descriptive-correlational approach in research as it describes and correlates the data gathered from the respondents to establish the basis on finding the most preferable Pedagogical Content Knowledge in addressing the difficulty found among the science concepts. Participants of the research are five (5) teachers and one hundred fifty (150) students across the selected public secondary schools in the municipality of Roxas. Results: The research reveals Coordinated Functions of the Reproductive, Endocrine, and Nervous Systemas the most difficult science concept in Grade 10 Quarter III. Moreover, the research also presents a significant relationship between the performance of the students and the pedagogical content knowledge of their teacher, and that Teacher C utilizes the most preferable Pedagogical Content knowledge in teaching the assessed most difficult science concept. Conclusions: The Educational sector should consider the pedagogical content knowledge among teachers in reforming, making and developing a curriculum which would cater the arising difficulties in sciences. Results could also be used as a basis on developing programs and seminars to boost and improve the teaching styles and strategies of teachers in teaching sciences.

Background: Chronic kidney disease (CKD) is the progressive deficiency of renal function that reach life threatening stage. Aim of Study: This study was be conducted to investigate the therapeutic effectiveness of High Tone Therapy (HTT) on selective kidney functions in hemodialysis patients. Subjects and Methods: Forty CKD patient received hemodialysis three times per week participated in this study and were recruited from the Nephrology and hemodialysis Unit at Cairo University hospital (kasr Al-ainy). Their ages ranged from 45 to 60 years old. All patients were divided randomly into two groups: study group (A) 30 patients received high tone therapy on quadriceps for one hour three times per week during hemodialysis for four weeks and control group (B) 10 patients.Measurements including Urea and creatininemeasured two times, before the treatment and after 4 weeks at the end of the study. Results: The current study showed significant decrease ofUrea and Creatinine in HTT group compared with control group. Conclusion: External muscle stimulation in form of High-Tone Therapy was able to improve ureal and creatininelevel in hemodialysis patients.

Sciaticais acondition characterized by sharppain originating in the lumbar region and extends down the postero-lateral aspect of the leg/thigh, often radiating to the foot or ankle. It affects around 13% to 40% population. Its etiology is believed to be multifactorial, mostly resulting from lumbosacral intervertebral disc herniation. In Conventional System of Medicine, this condition is managed by analgesics, NSAIDs, Opioid, analgesics, glucocorticoid injections and sometimes by surgical intervention, such treatment options are expensive,need to be used for a prolongedtimeand causevarious side effects. In Unani system of medicine, Irqun-Nasa (Sciatica) is believed to be caused by the accumulation of mawad-e-fasida in the vessel and is treated by number of treatment modalities. Fasd; a Unaniregimenaltherapyhas been used as a treatment option forSciatica by a number of physicianssince antiquity. In our present case study, we have done two sittings of Fasd on Saphenous vein or its tributaries, found impressive result. VAS and Sciatica Bothersome Index (SBI) at the end of the study are significant.