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Recent Articles

Fertility Desire and Associated Factors among Women on Anti-Retroviral Therapy in the Lideta Sub-City Health Centers

This study examines fertility desires among women receiving antiretroviral therapy (ART) at Lideta Sub-City Health Centers in Addis Ababa, Ethiopia. A cross-sectional study was conducted with 397 women, achieving a response rate of 97.5%. Data was collected through structured interviews and analyzed using logistic regression to identify factors associated with fertility desire. The results showed that 76.6% of respondents desired fertility in the future, with relationship desire being associated with a lower likelihood of having fertility wishes. College-educated individuals over 55 (13.9%) were 10.24 times more likely to aspire to become parents than primary and uneducated individuals. Respondents preferred a time frame of three to four years. The average age of participants was 37.34 ± 7.20 years, with 43.1% aged 30–39 and 41.8% aged 40–49. Nearly half (49.4%) were married, and the majority (98.2%) lived in urban areas. Factors significantly associated with fertility desire included higher education, partner's desire for children, and preferred timing for live birth within 3-4 years. Married women were less likely to desire fertility. The findings suggest the need for targeted reproductive health counseling, partner involvement in family planning, and support tailored to women with higher educational backgrounds to effectively address their fertility aspirations. Interventions should focus on enhancing reproductive health counseling, involving partners in family planning,and providing targeted support to women with higher educational backgrounds.

Knowledge, Attitudes, and Practices of Tunisian Dentists regarding the Use of Herbal Medicine in Endodontic Practice: A Cross-Sectional Study

Aim: This study aims to assess the knowledge, attitudes, and practices (KAP) of Tunisian dentists regarding the use of herbal products in endodontic practice. Materials and Methods: A cross-sectional descriptive study was conducted from May 2022 to September 2022. A self-administered questionnaire was distributed to 360 dentists, stratified into general practitioners and endodontists. Results: Endodontists exhibited a mean knowledge score of 38.5 ± 3.9, while general practitioners scored 39.5 ± 3.4, indicating comparable levels of knowledge in the application of phytotherapy in endodontics (p = 0.094 > 0.05). However, a statistically significant difference was observed in the practice of herbal medicine between the two groups (p = 0.002 < 0.05). General practitioners demonstrated a higher mean practice score (4.96 ± 1.01) compared to endodontists (4.45 ± 0.82). Attitude scores did not significantly differ between the two groups, with endodontists scoring 8.4 ± 1.7 and general practitioners scoring 8 ± 1.6. The majority of participants were familiar with orange oil (87.5%), aloe vera gel (78.1%), green tea (74.7%), clove oil (70.3%), curcuma (69.2%), and lemon solution (68.1%). Furthermore, 97.2% of respondents expressed a desire to enhance their understanding of herbal medicine in dentistry.Conclusion: Tunisian dentists exhibited limited familiarity with herbal products that could be employed in endodontic practice. Both general practitioners and endodontists demonstrated similar levels of knowledge regarding phytotherapy in endodontics

Cytological Effect of Viral Infection Associated with Yellow Streak Symptoms on Agave Tequilana

Yellow streak, ring spot and mottle symptoms were observed on young Agave tequilana (agave azul) plants cultivated in commercial nurseries in the state of Jalisco, Mexico. These symptoms have been associated with those possibly caused by an unknown virus. Mechanical inoculation of a host range and serological tests (ELISA) failed to demonstrate the viral nature of agave yellow streak. However, observations made on ultrathin sections of agave tissues with symptoms under a transmission electron microscope showed the consistent presence of flexible rod-shaped virus particles in the cytoplasm and chloroplasts, damage to chloroplasts, and formation of different types of globose membranous inclusions not observed in tissues from healthy plants. Moreover, analysis of Sanger’s sequences of nucleic acid and amino acids from amplicons obtained by RTPCR assays of symptomatic agave plants showed the infections of an unknown virus species of the Order Tymovirales

Perceptions of Latent Tuberculosis Infection Care by Providers at a Tertiary Care Center in the United States

Introduction: Mycobacterium tuberculosis (TB) is a leading cause of infectious disease mortality worldwide. A large reservoir of latent tuberculosis infection (LTBI) is a major public health problem worldwide and in the United States. Methods: A 13-question survey was distributed to providers working in the infectious disease, pulmonary/critical care, and general medicine departments at an academic tertiary care center in the United States. The survey included questions about provider confidence in and knowledge about LTBI management and perceived barriers to patient completion of the LTBI care cascade. Results: The response rate of the survey was 33% (62/186). Only 17 (30.9%) providers were able to correctly identify indication for screening in all six of the given patient scenarios. Overall, provider confidence in LTBI management decreased along the care cascade. Infectious disease providers were the most confident in management. The two most observed barriers to care were language barriers and lack of knowledge or understanding about TB. Discussion: Surveyed providers believe the largest barriers to patient LTBI treatment completion are due to a lack of patient comprehension about their infection. Patient understanding could be improved through mandated in-person interpreters, information pamphlets in patients’ preferred languages, and formation of community partnerships, to improve awareness about LTBI.