ABSTRACT
Postoperative bleeding is a great problem for surgeons. This is caused by many reasons. One of these is hypertension. There are 3 cases are presented because of bleeding due to postoperative hypertension. Sometimes intravascular pressure can raise and causes suture disruption. If the pressure rises so high, nasal bleeding may occur. Bleeding can be managed by conservative treatment or reoperation. If minimal bleeding occurs and simple maneuver such as compression becomes successfull, revision of anastomosis may not be needed but if suture line is disrupted surgical revision can be thought. Our cases are presented with their features.

ABSTRACT
Modern medical workplace is a stressful place, it has a complex environment. Large number of external pressures always exist on the medical professionals, may it be increased clinical workload due to insufficient staff and resources in health system, lack of control over work-life balance, the demands of keeping pace with rapid developments in medical technology and knowledge, changes in the administration and regulations, dealing with emergencies, uncertainty and errors, patient consumerism and community expectations. Interaction with patients and their families, which often involves dealing with suffering and deaths in emotionally charged clinical situations, can drain the “reserves” of the doctors with repercussions on their personal and professional lives. Such experiences are in addition to the pressures experienced outside the workplace such as relationship and financial problems. Keeping in mind the vulnerability of doctors to Stress, Burnout, Psychological Wellbeing and Health Status; present study was designed. This study examines the pattern and extent of stress and burnout in male and female medical professionals and to see how it varies across the years of experience, type of affiliated organization.

ABSTRACT
Bruxism is considered as the most dangerous of all oral parafunction habits which is associated with severe clenching and grinding of teeth. In general bruxism can be classified into two types “day time bruxism” which occurs during day and “nocturnal bruxism” which occurs during night. Although bruxism is considered to be just a habit, increase in frequency of episodes and severity in muscle contractions can lead to severe jaw disorders, headaches, tooth wear resulting in mobility. Till now bruxism has been the most underrated habit among patients until complications occur due to the lack of information regarding the signs and symptoms and the importance of when to seek medical advice. The following review article provides a brief overview about the various signs and symptoms, causes and various treatment modalities of patients with bruxism.

ABSTRACT
The role of trauma on the child emotional development is evidenced both in child socialization and performance in school. The purpose of the study was to assess the role of trauma on the children’s emotional development in children’s homes in Laikipia West Sub- County. The study employed ex post facto research design. The study targeted 419 children and 40 administrators living in children’s homes in the Sub-County. Simple random sampling was used to select 88 boys, 87 girls and 10 administrators, making a total sample size of 185 respondents. Questionnaires for the children and interview schedule for home administrators were used for data collection. To establish reliability of the instrument, a pilot study was conducted using 18 children and 4 administrators from two children’s homes. A reliability coefficient of 0.71 was established using Cronbach Alpha Coefficient. Validity of the instrument was ascertained through piloting the questionnaires to increase the face validity, as assistance was sought from the supervisor for content validity. Data was analyzed using descriptive statistics and inferential statistics. The study established that children exposed to distressing phenomena such as death of parent, sex abuse, parents’ abandonment, child labour, caregiver’s mistreatment, separation from parents at early age are at the greatest risk of developing trauma. The study concluded that such children develop anxiety like fear of death, screams and feeling loneliness. Some of them also feel uncomfortable in children`s home and therefore tried to run away. These traumatic situations negatively influenced children hence developing unhealthy emotional development. The study recommends that the Ministry of Health as well as the Children’s Department in the Ministry of Gender Sports and Culture should organize campaigns for creating awareness among public on nature of trauma and the consequences this may have on children emotional development.

ABSTRACT
The Aim of the Study was to determine the Prevalence of physical Stress on the School going students in relation to their Body Weight and Heavy Backpack. A cross-sectional study was conducted In the Primary Schools (Private) in the Kodad, region among randomly Selected 600 Students from the Nursery Class students to the LKG classes. The survey focused on gathering information about elementary students habits of backpack carrying and effects of these habits whether students experienced pain, and if so, when, where, and how often Co-relation with Bag weight and body weight were studied among randomly selected 40 students from nursery to seven class students and it was found that students of the Nursery to LKG students Suffer more back pain due to regular carrying of School bag of high weight. Awareness should be created among health care professionals, teachers, parents to restrict backpack load less than 15% of bodyweight by using school locker shelves. Improper use of backpacks is not healthy for anyone, especially for children who are more susceptible to injury because their bodies are growing and developing. Students, staff, and families need to be educated about backpacks contribution to back pain and taught appropriate interventions to reduce injury.