Introduction: A herniated disc occurs when the disc that acts as a cushion between the vertebrae of the spine shifts and presses on nearby nerves. The L4-L5 region refers to the lumbar vertebrae located in the lower back. A herniated disc in this region can cause pain, tingling, muscle weakness and even the inability to perform daily tasks. Evidence comparing the effectiveness of surgical and conservative treatment for symptomatic lumbar disc herniation is controversial. Objectives: The aim of this study is to discuss, through a literature review, the pros and cons of conservative and surgical treatment for herniated discs, as well as their risks and benefits according to current medical advances. Results and Discussion: Compared to conservative therapy, surgical treatment provided faster relief of low back pain symptoms in patients with lumbar disc herniation, but showed no benefits over conservative treatment in medium and long-term follow-up. Final considerations: Surgical treatment may therefore be attractive for patients with debilitating pain symptoms who are looking for rapid relief or who have not achieved satisfactory improvement with conservative treatment.

Background: The need for sleep is important for every individual. However, infants who experience sleep disturbances result in decreased sleep quality and affect their growth and development. One that can improve the quality of infant sleep by giving non-pharmacological therapy is baby massage. This study aims to analyze the effect of baby massage on infant sleep quality in Gandasari Village Area, Katapang District, Bandung Regency. Methods: This type of research is a pre experimental design using a one group pretest-posttest design approach. The sample of this study amounted to 30 infants who were taken by the total sampling method. This research instrument used standar procedure operational and questionnaire and paired sample T test statistical test. Results: The results showed that more than half of the respondents (63.3%) had poor sleep quality before baby massage, and more than half of the respondents (56.6%) had adequate sleep quality after baby massage. The paired sample T test statistical test shows that the significant value of p value = 0.000 < a (0.05), so Ha is accepted where there is an effect of baby massage on infant sleep quality in Gandasari Village Area, Katapang District. Conclusion: There is a significant influence between giving baby massage on infant sleep quality with p-value 0.000 < 0.05.

Ectopic pregnancy is considered a public health problem in all countries of the world regardless of the level of development because of its impact on the subsequent fertility of patients. It is one of the main hemorrhagic emergencies encountered in the gyneco-obstetric environment, constitutes a serious pathology in the first trimester of pregnancy and is the leading cause of maternal mortality in the first trimester of pregnancy. Methodology: This is a documentary, retrospective, descriptive and cross-sectional study, covering 23 cases of ectopic pregnancy treated between January 1, 2017 and December 31, 2021 at the Yangambi Reference Health Center and Hospital. General of Yangambi. Conclusion: Ectopic pregnancy is a serious pathology which presents a vital and functional emergency and mainly affects young women. In addition, it constitutes a public health problem. In our series, the frequency is 0.98% and 38.3% of our patients were pauciparous, the majority being paucigestic with 55.32%. The history of STIs (34.8%) is the main risk factor found and the mortality rate was 4.3%.

Ectopic pregnancy is considered a public health problem in all countries of the world regardless of the level of development because of its impact on the subsequent fertility of patients. It is one of the main hemorrhagic emergencies encountered in the gyneco-obstetric environment, constitutes a serious pathology in the first trimester of pregnancy and is the leading cause of maternal mortality in the first trimester of pregnancy. Methodology: This is a documentary, retrospective, descriptive and cross-sectional study, covering 23 cases of ectopic pregnancy treated between January 1, 2017 and December 31, 2021 at the Yangambi Reference Health Center and Hospital. General of Yangambi. Conclusion: Ectopic pregnancy is a serious pathology which presents a vital and functional emergency and mainly affects young women. In addition, it constitutes a public health problem. In our series, the frequency is 0.98% and 38.3% of our patients were pauciparous, the majority being paucigestic with 55.32%. The history of STIs (34.8%) is the main risk factor found and the mortality rate was 4.3%.

Recently, the Indian Council of Medical Research (ICMR) through studies confirmed that there is no link between the COVID-19 vaccines & heart issues. The larger issue is that there is an established link between COVID-19 disease & heart issues. The current article deals with the details of the process of COVID-19 & heart problems. The patho-physiology, symptoms pattern, epidemiology of the entire phenomenon is touched upon. To deal with the COVID related heart issues, the article proposes the integration of Homoeopathy of AYUSH. In the article, it details out a suggested treatment protocol based on homoeopathic therapeutics for COVID related heart issues. Taking into account the risk factors involved in these heart issues, the percentage of individuals who have high blood sugar & high blood pressure levels in India are considered at high risk. The related data from National Family Health Survey 5th round is cited to enumerate the risk involved at the national level. Finally, the article banks on the useful properties of homoeopathy. These are cost effectiveness, clinical effectiveness & zero side effects. The article also enumerates its role in the mass coverage at the national level.

Odontogenic infections are a major reason for consultation in dental practice especially in pediatric population. It comprises various clinical conditions, whose importance varies depending on their potential severity. Pediatric patients with active infections pose additional challenges and difficult to manage. Insufficiency or late treatment may lead to serious and possibly life-threatening complications. This case report is to discuss the management of treatment in canine fossa abscess in pediatric patient. A-3 years-old male patient referred to the Oral and Maxillofacial Surgery Clinic with complaints of swelling in his left cheek since 3 days ago. Physical examination showed fluctuant swelling in left infraorbital region. The patient was diagnosed with canine fossa abscess. The treatment was given are intravenous antibiotics, multiple tooth extraction and drainage incision under general anesthesia. Early identification, proper intravenous antibiotics and elimination of source of infection are the keys to the treatment.

Introduction: Viral hemorrhagic fevers (VHF) refer to a group of diseases caused by different viral families. Rodents represent 42% of the world’s mammalian biodiversity and are reservoir hosts for a wide range of disease agents. Hantaviruses are harbored in numerous mammalian reservoirs, including rodents. To prevent and mitigate possible outbreaks of zoonotic diseases, it is necessary to know the geographic distribution, intra-specific relationships, diversity and identity of the incriminated species. Objectives: To describe the ecology, epidemiology, epizootiology and natural history of hemorrhagic infections caused by hantavirus serotypes and their respective reservoirs. Methodology: Bibliographical consultations and online articles were carried out in the databases relating the highlighted subjects. Results: Rodents from the subfamilies Murinae, Arvicolinae, Neotominae and Sigmodontinae are the main reservoirs of hantavirus disease. Orthohantaviruses are the most studied group, highlighting the Hantaan, Seoul, Puumala and Dobrava serotypes. Rodents of the genus Oligoryzomys, include several species and have parasite-host relationships reported for the genus Hantavirus. Other species of mammals, such as bats, squirrels and opossums, have already been described as possible reservoirs. Conclusion: Hantavirus infections occur as a result of close interactions between humans and animals. One Health approaches highlight concerns through interdisciplinary collaboration and development of public health interventions when animals become vectors of infections, with the aim of achieving global results by recognizing the interconnection between wildlife, humans and the environment.