Recent Textbooks Research Articles

Fine-Needle Aspiration Cytology of Cellular Basaloid Neoplasms of the Salivary Gland.

Cellular basaloid neoplasms of the salivary gland represent a diverse group of benign and malignant neoplasms with significant cytomorphologic overlap on fine-needle aspiration cytology. All are marked by the presence of monotonous and usually bland basaloid epithelium. Distinction between basaloid neoplasms on fine-needle aspiration cytology is based on the presence or absence of additional features, including a second cell population (eg, myoepithelial cells), an acellular stromal component, and/or cytologic atypia within the basaloid epithelium. This review highlights the cytomorphologic features of the most common cellular basaloid neoplasms of the salivary gland, with an emphasis on classification and subclassification within the Milan System. To provide a comprehensive review of the cytologic features of basaloid epithelial neoplasms of the salivary gland, with an emphasis on classification within the Milan System for Reporting Salivary Gland Cytopathology. Peer-reviewed literature, recent textbooks, and personal experiences of the author. Some basaloid neoplasms, in particular pleomorphic adenomas and adenoid cystic carcinomas, may have characteristic findings on fine-needle aspiration that allow for definitive diagnosis. In other cases, however, fine-needle aspiration can confirm a neoplastic basaloid process, but specific classification of a benign or malignant neoplasm cannot be rendered. The Milan System for Reporting Salivary Gland Cytopathology acknowledges this difficulty, and recommends benign or malignant classification only when definitive diagnostic features of a specific neoplasm are present. For indeterminate cases, the subcategorization of salivary neoplasm of uncertain malignant potential is recommended.

Van typiste naar ingenieur?

Abstract Studies on English language learning materials indicate that women are underrepresented and often appear in low-status professions, though gender equality increases within the last decade (Sunderland, 2015). To what degree does this finding apply for textbooks for learners of Dutch as a Second Language (DSL)? To our knowledge, there are no studies into gender and profession in DSL materials. Dutch however, constitutes an interesting case as both female, male and ‘gender neutral’ professional role nouns exist, while their use is not formally regulated. We systematically analyzed textual and pictorial representations of female and male professionals in textbook chapters about work in fifteen DSL textbooks published within the last 50 years. We drew on quantitative (e.g., number of fe/male and ‘gender neutral’ professional names; instances of male generics and firstness; number of depicted wo/men) and qualitative (e.g., nature of the most frequent professional names; categorization of textbook images) methods to do so. Results show that women are not underrepresented in dialogues and pictures, but that dialogue themes are unequally divided over women and men. Moreover, women are backgrounded through male generics and male firstness and female professional names appear less frequently than male names. Women are also described in gender typical roles, whereas men are not. This holds for both older (1974–2009) and recent textbooks (2011–2017). Overall, more ‘gender neutral’ nouns refer to men in the corpus, but they are used more frequently to refer to women within the last decade. Future studies should address the present theme from psycholinguistic and classroom discourse perspectives and consider additional analytical domains (e.g. chapters about family) and foci (e.g. analyses of verbs associated with wo/men). We discuss pedagogical implications (e.g., screen materials for male firstness; describe women in a greater variety of roles; reverse gender roles in class) for those with concern for gender equality in language education.

Elisabeth Kübler-Ross and the "Five Stages" Model in a Sampling of Recent Textbooks Published in 10 Countries Outside the United States.

A previous article in this journal examined some aspects of the enduring influence of Elisabeth Kübler-Ross's "five stages" model through a sampling of recent American textbooks in selected academic disciplines and professional fields. This article offers a parallel sampling of 47 textbooks published in 10 different countries outside the United States. The questions to be answered are as follows: Does the "five stages" model appear without significant change in the textbooks described here?Is the "five stages" model applied in these textbooks to issues involving loss, grief, and bereavement as well as to those involving terminal illness and dying?Is the "five stages" model criticized in some or all of these textbooks?If so, is the criticism sufficient to argue that, while the "five stages" model might be presented as an important historical framework, it should no longer be regarded as a sound theory to guide contemporary education and practice?

Conflict between covers: Confronting official curriculum in Indian textbooks

The article examines the most recent national-level textbook writing process in India during which activists, academics, and government bureaucrats came together to produce texts guided by a progressive vision of education. In the place of textbooks that traditionally relied on rote methods and adopted a conservative stance toward social issues, the new textbooks attempted to utilize a constructivist pedagogy and include content that would directly address inequality in Indian society. Based on interviews with textbook authors involved with the process, I find that while the state was open to changes in pedagogical approaches in the texts, it remained more resistant to content that would force students to confront sources of inequality. The findings indicate divergent possibilities and potential contradictions in countering hegemonic approaches to education, especially in the current political climate.

Spontane Geschichten, spontane Philosophien. Wissenschaftskonzepte im akademischen Unterricht

AbstractSpontaneous Histories, Spontaneous Philosophies: Concepts of Science in Academic Training. Science studies and history of science usually focus on exploring scientific research activities. Academic training does not garner much attention by contrast. However, what scientists think and do in the course of research activities is not completely independent of what they once have learned. I suggest that in academic training, beneath everything else, a kind of ‘spontaneous philosophy of the scientists’ (Louis Althusser) is established. Textbooks mark one entry point to approach the concepts of science students are confronted with. As an example, I rely on a chapter on the “history of macroeconomics” from a recent textbook.

Elisabeth Kübler-Ross and the "Five Stages" Model in a Sampling of Recent American Textbooks.

This article examines some aspects of the enduring influence of the work of Dr. Elisabeth Kübler-Ross and especially of her "five stages" model through a sampling of recent textbooks published in the United States in selected academic disciplines and professional fields. The following are the questions to be asked:1. Does the "five stages" model appear without significant change in the textbooks described here?2. Is the "five stages" model applied in these textbooks to issues involving loss, grief, and bereavement, as well as to those involving terminal illness and dying?3. Is the "five stages" model criticized in some or all of these textbooks?4. If so, is the criticism sufficient to argue that, while the "five stages" model might be presented as an important historical framework, it should no longer be regarded as a sound theory to guide contemporary education and practice?

Historical aspect of mathematics on Indonesian mathematics textbook

Inviting the students’ activity in reinventing the mathematics concept in the mathematics class, has become more popular in the recent mathematics education curriculum. History and Pedagogical in Mathematics (HPM) research has grown to support reinvention activities. The recent textbook in mathematics based on the Kurikulum 2013 has implemented the HPM perspective as a form of historical snippets. This Paper aimed at drawing the form on how historical perspectives in Indonesian Mathematics Textbook that help students reinvent the mathematics concept. Some parts in Indonesian Mathematics text book have considered the essence of historical perspective as the main idea in reinventing specific concept. The historical aspect is modified and appears with didactical approach that invites students’ active involvement. More examples show factual data of historical concept as motivation on the value of the mathematics.

Global Health

Global Health

Effect of Nursing Educational Program on knowledge Among Patients at Risk for Stroke

Background: Stroke is the third most common cause of death worldwide and the leading cause of adult disability. Aim of the study: was to assess the impact of a nursing education program on Knowledge among patients at risk for stroke. Subjects and Method: A quasi-experimental design was used in the current study. This study was carried out on a convenient sample of 133 patients at risk of stroke. This study was conductedin the outpatients clinics in governmental hospitals and the health insurance hospitals in Port-Said City. Three different tools were used for data collection, namely 1) -Structured interview questionnaire sheet , 2) - Stroke risk assessment screening tool and 3) - Patients' assessment knowledge about stroke. The educational program was designed based on an extensive revision of the related materials, recent medical surgical nursing textbooks, studies and literature. Results: The study results revealed that very high statistical significant difference in total and sub-items scores of studied patients' knowledge were found between before and immediately after program implementation and between before and 3months after program implementation, slightly decline was evident in total patient knowledge from post immediate and post 3 months after the program implementation(99.2% to 96.2%) respectively ,but it was still higher than before program implementation(6.0%).Conclusion: The study concluded that The knowledge was significantly improved after implementation of nursing educational program about stroke prevention. Recommendations: The study recommended thatregular continuouseducation programs should be conducted in the different outpatient clinics providing medical care for patients at risk for stroke to give information about stroke prevention for enhancing knowledge.

A Brief Review of the Dook, R for Data Science

This article reviews a recent textbook that introduces a data scientist to the tidyverse, an environment in R that provides useful packages for importing data, tidying data, transforming data, visualization, modeling and communication of results. All of these tools are needed for managing a data science project.

Rediscovery of forgotten structures inside mucosa of uterine tubes ‐ lymphatic lacunae‐ and their possible role in reproduction.

Human uterine tubes are paired, muscular tubes of great mobility that measure about 12 cm in length. The uterine tube wall is composed of a mucosa, a muscular layer, and a serosa. Mucosa forms longitudinal mucosal folds and is lined with a simple columnar epithelium. In this poster presentation, we described in detail a neglected structure of uterine tubes, central lymphatic lacunae of mucosal folds and fimbriae. These lymphatic lacunae were first time described by German gynecologist Paul Kroemer in 1904. Dr. Kroemer, as a part of his habilitation, injected ink to visualize lymphatic spaces in the pregnant woman's ovarian tube, which he named as “Lymphbahnen”, that is “lymphatic channels”. In recent textbooks, we found only one note about these lymphatic lacunae inside fimbriae, and also we found no mention about these structures in Terminologia Histologica. The specimens from the uterine tubes were taken from 48 women (age from 21 to75, mean age 48.8 years) who underwent trans-abdominal or laparoscopic surgery - salpingectomy with or without hysterectomy. The study protocol was approved by the ethical committee of local hospital, and informed consent was obtained from all patients. Tissue samples from anatomically different parts of the uterine tubes (infundibulum with fimbriae, ampulla and isthmus) were fixed in formalin, embedded in paraffin, and 5 μm thick sections were used for hematoxylin and eosin staining and for immunohistochemistry. Primary antibodies were used to label and detect podoplanin D2–40, a relatively new and selective marker of lymphatic endothelia, and CD34 antigen, a universal marker of blood endothelial cells. For visualization of the histological sections by means of light microscopy, the LEICA DM2500 microscope was used. In the histological slides of uterine tubes, stained with hematoxylin and eosin, there are noticeable slits or gaps within the loose connective tissue of lamina propria of the mucosal folds. They are lined with one layer of squamous cells resembling endothelial cells and are devoid of content. These “empty spaces” are most prominent in fimbriae, but are still well recognized in mucosal folds of ampullary region. In the isthmus, they are least visible. They always run thru the central part of the fold, reminding with their histotopographical localization lacteals in the center of intestinal villi. Squamous endothelial cells that line these gaps in the connective tissue do not express CD34 antigen, what can be regarded as a proof, that they are not blood vessels nor blood sinusoids. However, they are positive on podoplanin (D2–40) – selective marker of lymphatic endothelial cells. As a result, we confirmed that in the center of every mucosal fold and in fimbriae of the uterine tubes are situated dilated lymphatic spaces, which are lined with simple layer of endothelial cells. As there is no mention on them in current Terminologia Histologica (2008), we propose the term “central lymphatic lacunae of tubal mucosal folds and fimbriae”. Remains a question, why these lacunae are only rarely (and unsatisfactory) described in the literature, as the visibility of these large spaces even with the routine hematoxylin and eosin staining is excellent. Many times, the structures we had been looking for, had been well seen on microphotographs, however, without any description. This confirms, that lymphatic lacunae are physiologically present in the mucosa of uterine tubes and that until now, they had been just neglected and overlooked. Ampullary region of human uterine tube in hematoxylin and eosin staining (lymphatic lacunae are visualised by red color) and visualisation of lymphatic endothelia with podoplanin-antibodies (and diaminobenzidine as brown chromogen) This abstract is from the Experimental Biology 2018 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.

Quinolones and Fluoroquinolones to Treat Salmonella Typhimurium: A Review of Metabolism and Pharmacokinetics.

Salmonella enterica serovar typhimurium is the most important serotype of Salmonella transmitted from animals to humans in most parts of the world. They are associated with an estimated 1 million deaths annually. Quinolones, an important class of broad-spectrum antimicrobials, have been utilized as a treatment option for salmonellosis for over 40 years. Despite the number of available quinolone agents, many of them failed in the clinical stage and never make it to FDA approval. Despite considerable evidence reveals the importance of different drug discovery process of S. typhimurium, there are no systematic review outlining the pharmacokinetic and pharmacodynamic parameters of quinolones. Keeping this in mind, the present study aims to provide a systematic review on metabolism and pharmacokinetics of different quinolones. Information from all relevant bibliographic databases was used. Additionally, the recent journal articles and textbooks were searched manually in the preparation of this review article. A total of 136 journal articles and textbooks were included in the preparation of the review. Majority of research articles defines about the metabolism, pharmacodymanics and pharmacokinetics of different quinolones. Twenty eight papers outlined about the mechanism and challenges faced by the quinolones and fluoroquinolones. Finally, information on drug interactions, adverse effects and drug resistance of quinolones and fluoroquinolones were supported with forty two research articles. Note that the importance of computational biology in the field of drug discovery was also addressed with appropriate literatures. Overall, the findings of this review highlight the importance of pharmacokinetic profiling of different quinolones in developing novel drugs to overcome drug resistance in the near future.

Identity and othering in past and present: Representations of the Soviet era in Estonian post-Soviet textbooks

This paper analyses representations of the ‘core Soviet era’ (1945-1985) in Estonian post-Soviet history textbooks (1989-2016). Attitudes towards the Soviet system have been a rich resource for identity building, and hence a powerful political tool across the whole of the post-Soviet block. Based on an analysis of sections about the Soviet era in Estonia in 21 textbooks, the paper takes a look at how textbooks reflect broader processes of social meaning making, identity building and othering after a profound social and political turn. In 1989 and during the early 1990s, perspectives and narratives in Estonian history textbooks were closely related to social memory and national politics, enacting a specific social representation of the Soviet era that dominated the Estonian-speaking public space during the 1990s. The Soviet era, Russia and local Russians became the main Others for Estonia and Estonians. Over time, public discourse has diversified. The national curriculum and textbooks, however, still maintain the canon that formed in 1990s and thus reflect earlier sentiments. Apart from the increasing salience of Soviet-era daily life in more recent textbooks, the thematic choices and emphases have changed little since the 1990s. Therefore, even if the style of writing has ‘cooled down’, issues of identity preservation, resistance and accommodation, together with a saliently negative representation of wrongdoings by the Soviet system, still prevail. On the one hand, this testifies to the resilience of an established tradition in the textbook genre in general. On the other hand, it reflects the dominance of an ethnocentric tradition in Estonian history textbook writing. The paper discusses the implications of these findings for interethnic relations in Estonia.

Perspectivas: Português para falantes de espanhol by Blair Bateman etal

Reviewed by: Perspectivas: Português para falantes de espanhol by Blair Bateman etal Will Travers Bateman, Blair, Marilena Mattos, Marcus Brasileiro, and Nieves Pérez Knapp. Perspectivas: Português para falantes de espanhol. Ronkonkoma, NY: Linus Learning, 2016. Pp. 432. ISBN: 978-1-60797-641-7. Perspectivas, the most recent textbook designed for use in the Portuguese for Spanish Speakers (PSS) classroom, is a welcome twist on the introductory language texts, taking refreshingly full advantage of its intended audience's multilingual background. This collaboration between scholars at Brigham Young University, Utah State University, and the University of Minnesota, follows a pair of studies conducted by the lead author surveying existing introductory texts, the motivations of students learning Portuguese, and what instructors have been hoping for in a textbook. While over the years there have been a small number of laudable attempts at creating specialized materials for Spanish speakers in the US learning Portuguese as a third language (L3), it was found that most PSS classes nonetheless adopted textbooks that make little to no effort at incorporating prior knowledge of any language other than English. In Perspectivas, instructors finally have the highly communicative, multilingual, beginning textbook the field has long needed. Perspectivas opens with a preliminary lesson that covers introductions, classroom vocabulary, and basic grammar points (e.g. subject pronouns, possessives, the verb gostar). Containing a helpful primer on pronunciation, differences between Brazilian and European Portuguese are made clear from the outset, with a sustained focus on grammatical and lexical divergences as the book progresses. The remainder of Perspectivas is then divided into ten chapters, each of which feature authentic texts (e.g. Drummond, Moraes, Sabino, Veiga) organized around a particular cultural theme, complemented by communicative activities, contrastive grammar explanations, and plenty of new vocabulary. Appreciated are the details, such as verb paradigms shaded to indicate which forms share a stem-vowel sound—helpful to refer back to, even for students with advanced proficiency. Other subtleties made explicit within the vocabulary sections include the various ways of pronouncing 'x,' items of specific regional currency, and whenever 'e' and 'o' could potentially be pronounced aberto versus fechado (Spanish speakers typically favoring the latter). Perspectivas also features a wide array of exactly those language-specific items fundamental to a good L3 textbook: cognates, for instance, that differ in gender (52) or syllable stress (286), or equivalent verbs that take different prepositions in Spanish and Portuguese (367-73). The three sections on false friends (81, 113-4, 148), with English translations from both languages, underscore that this book was fully created with L3 learners in mind, who themselves constitute a majority in many Portuguese-language classrooms. In nearly every way, Perspectivas is a comprehensive modern textbook, well suited for adoption by PSS classes in the US, or anywhere English is a principal medium of instruction. Following in the footsteps of a small number of innovative prior efforts, Perspectivas makes judicious use of Portuguese, English, and Spanish, each serving a particular function. The direct method is used from the very start throughout all exercises and activities, cultural notes, and dialogs, which are presented in the target language without translation. The grammar explanations, on the other hand, are written in plain English, drawing upon examples in Spanish, as necessary, to compare and contrast with Portuguese. This type of multilingual consciousness raising helps students not only develop their own metalinguistic awareness, but serves additionally to allow quick and efficient access to certain L3 structures via a pivot language, all while reducing the likelihood for attrition in either L2 or L1. Spanish also plays a pivotal role in the vocabulary sections, where terms appear in all three languages. The subtle effect is exactly what the authors intend, that students are reminded often [End Page 658] of their unique multilingual background, allowing lessons to proceed at a quicker pace, and in a different order, when compared to a typical beginning language class. The personal infinitive, for example, is introduced before the imperfect, while the future subjunctive comes prior to even the present subjunctive, or for that matter the conditional, imperative, and present perfect. What might otherwise seem a curious choice makes sense when considering that those are precisely the...

Hemolytic uremic syndrome: differential diagnosis with the onset of inflammatory bowel diseases.

Background: Shiga-toxin Escherichia coli productor (STEC) provokes frequently an important intestinal damage that may be considered in differential diagnosis with the onset of Inflammatory Bowel Disease (IBD). The aim of this workis to review in the current literature about Hemolytic Uremic Syndrome (HUS) and IBD symptoms at the onset, comparing the clinical presentation and symptoms, as the timing of diagnosis and of the correct treatment of both these conditions is a fundamental prognostic factor. A focus is made about the association between typical or atypical HUS and IBD and a possible renal involvement in patient with IBD (IgA-nephropathy). Methods: A systematic review of scientific articles was performed consulting the databases PubMed, Medline, Google Scholar, and consulting most recent textbooks of Pediatric Nephrology. Results: In STEC-associated HUS, that accounts for 90% of cases of HUS in children, the microangiopathic manifestations are usually preceded by gastrointestinal symptoms. Initial presentation may be considered in differential diagnosis with IBD onset. The transverse and ascending colon are the segments most commonly affected, but any area from the esophagus to the perianal area can be involved. The more serious manifestations include severe hemorrhagic colitis, bowel necrosis and perforation, rectal prolapse, peritonitis and intussusception. Severe gastrointestinal involvement may result in life-threatening complications as toxic megacolon and transmural necrosis of the colon with perforation, as in Ulcerative Colitis (UC). Transmural necrosis of the colon may lead to subsequent colonic stricture, as in Crohn Disease (CD). Perianal lesions and strictures are described. In some studies, intestinal biopsies were performed to exclude IBD. Elevation of pancreatic enzymes is common. Liver damage and cholecystitis are other described complications. There is no specific form of therapy for STEC HUS, but appropriate fluid and electrolyte management (better hyperhydration when possible), avoiding antidiarrheal drugs, and possibly avoiding antibiotic therapy, are recommended as the best practice. In atypical HUS (aHUS) gastrointestinal manifestation are rare, but recently a study evidenced that gastrointestinal complications are common in aHUS in presence of factor-H autoantibodies. Some report of patients with IBD and contemporary atypical-HUS were found, both for CD and UC. The authors conclude that deregulation of the alternative complement pathway may manifest in other organs besides the kidney. Finally, searching for STEC-infection, or broadly for Escherichia coli (E. coli) infection, and IBD onset, some reviews suggest a possible role of adherent invasive E. coli (AIEC) on the pathogenesis of IBD. Conclusions: The current literature shows that gastrointestinal complications of HUS are quite exclusive of STEC-associated HUS, whereas aHUS have usually mild or absent intestinal involvement. Severe presentation as toxic megacolon, perforation, ulcerative colitis, peritonitis is similar to IBD at the onset. Moreover, some types of E. coli (AIEC) have been considered a risk factor for IBD. Recent literature on aHUS shows that intestinal complications are more common than described before, particularly for patients with anti-H factor antibodies. Moreover, we found some report of patient with both aHUS and IBD, who benefit from anti-C5 antibodies injection (Eculizumab). (www.actabiomedica.it)

¿Cómo se enseña la Ilustración en 2.º de Bachillerato? Un análisis de los libros de texto, sus contenidos y la cuestión de género.

Con el presente artículo tratamos de analizar cómo se enseña y cómo se ha enseñado el movimiento ilustrado en las aulas de secundaria de nuestro país, a través del estudio de algunos materiales curriculares de 2.º de Bachillerato correspondientes a la asignatura de Historia de España. Estos han sido elaborados en distintos momentos, los últimos años del periodo de vigencia de la Ley de Ordenación General del Sistema Educativo (1990) y en el marco de la actual Ley Orgánica para la Mejora de la Calidad Educativa (2013). Nuestro objetivo es tratar averiguar si las innovaciones aportadas por la historiografía más reciente sobre la Ilustración se han trasladado o no a los mismos. También si estos incorporan la perspectiva de género y, de ser así, de qué manera lo hacen. Los resultados demuestran el mantenimiento en ellos de una visión bastante tradicional a la hora de abordar el movimiento ilustrado, aunque creemos poder detectar alguna evolución y una tímida incorporación de ciertas cuestiones referentes a la historia de las mujeres o las nuevas formas de sociabilidad y trasmisión de las ideas ilustradas. Our article tries to study the way Enlightenment is taught and it has been taught in Spanish high schools, through analyzing some secondary text books on History of Spain. Those textbooks have been written at various moments. In fact, they correspond to two different organic laws, LOGSE (1990) and the current LOMCE (2013). Our main aim is to find out if recent historiographic approaches and contributions on Enlightenment are included. We would like also to know if they consider, or not, gender perspective and, if so, how it is understood. Our results show how textbooks keep, in general, traditional approaches to Enlightenment. However, we could detect a slight evolution with the incorporation of a certain number of questions on women history and new sociability approaches in more recent textbook.

Skin as a marker of general feline health: Cutaneous manifestations of infectious disease.

This review is aimed at veterinarians who treat cats and especially those with an interest in feline dermatology. Tables are included to allow the reader to formulate a concise list of differential diagnoses for clinically similar presentations. The diagnostic approach to a case of ulcerative facial dermatitis is reviewed in a Case Notes quiz. Evidence base: This article includes up-to-date information regarding dermatologic manifestations of less commonly encountered feline cutaneous infectious diseases. Information has been drawn from the published, peer-reviewed literature and the most recent textbook chapters with a particular aim of describing and differentiating clinical lesions and the diagnostic approach to cutaneous disease, especially in unusual cases.

Dissolving a half century old problem about the implementation of procedures

We investigate the semantics of the procedure concept, and of one of the main techniques introduced by E. W. Dijkstra in his article Recursive Programming to implement it, namely the “static link,” sometimes also called “access link” or “lexical link.” We show that a confusion about that technique persists, even in recent textbooks. Our analysis is meant to clarify the meaning of that technique, and of the procedure concept. Our main contribution is to propose a better characterization of the “static link.”

Review of <i>Grammatical theory: From transformational grammar to constraint-based approaches</i>, volumes 1 and 2, 2016

This review takes a closer look at Stefan Müller’s (2016) recent open-access textbook that surveys grammatical theories (with a focus on syntax).

Systematic Review on Interaction Studies of Synthetic Antidiabetic Drugs and Herbal Therapies

Purpose : Complimentary and alternative therapies as well as traditional herbal home remedies are booming because they are perceived to be free of side effects and generally recognised as safe due to their natural origin. There are number of reports available on the interaction of anti diabetic drugs in vitro and in clinical trials. Diabetic patients are often treated with multiple synthetic drugs combination due to different co- morbidities and such patients should be informed regarding herb-drug interactions in clinical settings. Approach : Informations from the published research articles available from MEDLINE, Cochrane and Pub med as well as additional data sources were obtained from manual searches of recent journal articles and textbooks and were used in the preparation of this review article. Finding : Traditional home remedies and alternative therapies in treatment of Diabetes mellitus may pose concern or complications that would arise from these herbs on the pharmacodynamic and pharmacokinetic effects of synthetic drugs as they are used in combination therapy. Conclusion : Herbal remedies are complex mixtures of bioactive entities which may interact with prescription drugs through pharmacodynamic or pharmacokinetic mechanism and sometimes result in serious clinical consequences. Patients and Physician should be familiar with the potential effects of commonly used herbal medications to prevent, recognise and treat potential adverse effect associated with their uses.