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Objective: To identify and study the existing literature on the efficacy and safety of midazolam compared to inhalation of nitrous oxide in children undergoing dental treatment. Material and Methods: Electronic resources such as PubMed Central, Cochrane Database of Systematic Reviews, Lilacs, Science Direct, and SIGLE were thoroughly searched. The title scan was used to find randomised controlled trials reviewed for inclusion by reading the abstract. Studies comparing the sedative, behavioural, and anxiolytic effects and safety in children undergoing dental treatment under midazolam and nitrous oxide inhalation were included. The Cochrane Reviews system software, Revman 5.4.1, was used to assess the quality of the included studies. Results: 11328 articles were identified by screening the electronic databases, of which 10906 were eliminated after titles were read and duplicates were removed. Ten full-text articles were examined, of which three were excluded as they did not match the eligibility criteria. Hence, a total of 7 studies were included. Midazolam and nitrous oxide inhalation were not statistically different in terms of the success of treatment and behaviour modification. However, midazolam showed a deeper level of sedation and resulted in amnesia in more children when compared to nitrous oxide sedation. All of the included studies were found to have a high risk of bias. Conclusion: Though all the studies included showed an increased risk of bias, midazolam and nitrous oxide inhalation seem equally effective sedative agents for controlling behaviour in children undergoing dental treatment. Midazolam shows a deeper sedation level when given orally and produces a higher rate of anterograde amnesia.

Currently, all of us are experiencing the unforeseen circumstances of the coronavirus disease 2019 (COVID-19) that have developed a spectrum of effects, which can be best understood in terms of psychological, physical, and immunity problems among people. For this reason, we are particularly interested in the role of mental health in strengthening the immune system in times of COVID-19. What protective factors help maintain and support the good mental health and well-being of any person who faces extreme pandemic-like situations? The Pandemic has had significant and variable impacts on people’s mental health and immunity system. Every family who faces the Pandemic directly or indirectly experiences partial or no control over their thinking, emotions, actions, and coping related to COVID-19 and deaths. To achieve good mental health and a strong immunity system, maintaining the homeostasis of mind and body, engagement in close connections, and social support, using low-stressor techniques, nearness to the environment, practicing Yoga and meditation, infusing positivity, and following healthy lifestyles are necessary for people. In addition, there is an emphasis placed on various approaches to the 4 M’s, which include mental health, mental immunity, mindset, and stressor, to jettison all mental health tangles and minimize the impact of the COVID-19 Pandemic. Thus, mental health and immunity can be restored by controlling the overwhelming thoughts, emotions, and actions of COVID-19 through the inculcation of life-savior techniques and the 4 M’s as a part of daily life.

ABSTRACT The understanding that the drivers of inequities are multiple and intersecting is critical for health policy formulation and implementation. An intersectionality analysis reveals these relationships and allows a nuanced grasp of how health inequities are framed and understood. Using global statistics and other examples, the paper argues the significance of an intersectionality analysis in unravelling the disproportionate impact of inequity and the implications for the health and lives of persons experiencing these multiple discriminations. Attention to this, challenges the assumption of homogeneity and helps to visibilize lived realities. A few examples of acts of resistance are cited by the authors that have attempted to amplify the voices and knowledge of those whose realities are otherwise invisibilized by prevailing inequities, policies and discourses. ‘Marginalizing’ health thus implies an intersectional understanding of inequity as well as challenging and changing prevailing socio-political structures.

Total anomalous pulmonary venous connection (TAPVC) with direct connection of the pulmonary veins to the morphologically right atrium is exceedingly rare other than in the setting of isomerism of the right atrial appendages. We present an interesting case of TAPVC in a patient with situs solitus that connected to the right atrium via a broad-mouthed common chamber. Resumo: As variantes de retorno venoso pulmonar anómalo total (RVPAT) que resultam de conexão e de drenagem direta das veias pulmonares à aurícula morfologicamente direita são extremamente raras, exceto no caso de presença de isomerismo direito. Apresentamos um caso de RVPAT, com drenagem à aurícula direita através de um coletor comum, num doente com situs solitus. Keywords: Total anomalous pulmonary venous connection, Cardiac total anomalous pulmonary venous connection, Supracardiac total anomalous pulmonary venous connection, Palavras-chave: Conexão anómala total das veias pulmonares, Conexão anómala total de veias pulmonares cardíaca, Conexão anómala total de veias pulmonares supracardíaca

Let R be a prime ring and F and G be generalized derivations of R with associated derivations d and g respectively. In the present paper, we shall investigate the commutativity of R admitting generalized derivations F and G satisfying any one of the properties: (i) F(x)x = x G(x), (ii) F(x2) = x2 , (iii) [F(x), y] = [x, G(y)], (iv) d(x)F(y) = xy, (v) F([x, y]) = [F(x), y] + [d(y), x] and (vi) F(x ◦ y) = F(x) ◦ y − d(y) ◦ x for all x, y in some appropriate subset of R.

Using survey data collected from 2,273 teachers in Texas, this study explores differences in school organization that contribute to the experiences (e.g., working conditions, instruction and student engagement in learning, self-efficacy and job satisfaction, and teacher evaluation) of charter school and traditional public school teachers. Researchers used propensity score matching to reduce the impact of selection bias and to produce accurate estimates of the charter-traditional public school differences. Compared with similar teachers in traditional public schools, charter school teachers reported a more supportive teaching environment, higher expectations of students among staff, a greater sense of responsibility for student learning, and higher levels of student engagement in learning. However, they reported, attending fewer professional development trainings focused on instruction and aligned to teaching assignments, fewer opportunities for professional development and collaboration with colleagues, and lower perceived fairness of teacher evaluation. Findings from this study provide valuable insight into the school organization factors that may underlie teacher turnover and represent unmet needs among charter school teachers, and suggest strategic areas of focus for policymakers, charter management organizations, and charter school leaders in addressing teacher retention and student achievement.

Análise de Deepa Punjani ao teatro em língua inglesa na Índia