Transverse deficiencies should be a priority in orthodontic treatment, and should be corrected as soon as diagnosed, to restore the correct transverse relationship between maxilla and mandible and, consequently, normal maxillary growth. Corrections may be performed at the skeletal level, by opening the midpalatal suture, or by dentoalveolar expansion. The choice of a treatment alternative depends on certain factors, such as age, sex, degree of maxillary hypoplasia and maturation of the midpalatal suture. Thus, the present case report discusses rapid palatal expansion to correct maxillary hypoplasia in a female patient with advanced skeletal maturation and bilateral cross-bite with constricted maxilla.

Job satisfaction is an essential element for the maintenance of the workforce numbers of any organization. Lack of job satisfaction for employees not only leads to high turnover rates but could also have detrimental effects on the individual, like burnout. Turnover provides the organization with new ideas and is a normal process. However, it does not need to be unnecessary and excessive. A high turnover rate leads to the inability of an organization to provide quality care and job satisfaction to employees. Turnover has a cyclic nature and remains a challenging issue. An organization should identify whether turnover is voluntary or involuntary. If the organization has high rates of involuntary turnover, then careful examination of recruitment, selection, training and motivation strategies are important. If turnover is voluntary, then the organization needs to look at factors that influence nurses to leave namely: intrinsic and extrinsic factors according to Herzberg’s theory. The extrinsic factors are conditions surrounding the job and intrinsic factors are relating directly to the job. A study in Jordan, which studied private hospitals’ nurses’ levels of job satisfaction, concluded that nurses in private hospitals reported higher levels of job satisfaction and higher intentions to stay at their jobs than nurses who did not work in private hospitals. This probably indicates that nurses’ levels of job satisfaction are directly related to nurse turnover rates. Nurses in the private hospitals who had intrinsic job satisfaction, had lower turnover rates.

Wannan bincike da aka aiwatar a kan Maƙwabtakar Hausawa ya mayar da hankali ne ga duban irin tunanin Bahaushe dangane da abin da maƙwabtakarsa ta ƙunsa wanda ake tunanin ya ƙara bambanta shi da saura al’ummu na duniya. An gudanar da nazarin ne domin duniya ta fahimci cewa, zaman muhallin Hausawa kusa da juna yana ƙunshe da wasu hikimomi da tanade-tanade da suke da alaƙa da kyakkyawar rayuwar mutanen. A ƙoƙarin tattara bayanan da suka gina wannan maƙala an nazarci irin cuɗanyar da Hausawa suka yi da juna a birane da ƙauyuka musamman a dauri ta yadda zai bayar da hoton ainihin abin da maƙwabtakarsu ta ƙunsa. Haka kuma an yi mu’amala da mutanen da suka fahimci zamantakewar Hausawa da hikimomin da ta ƙunsa. An bibiyi yadda zamantakewar Hausawa take a yanzu a wasu sassa na birane da ƙauyuka inda ake ganin har yanzu akwai wannan tunani a zukatan mutane. A ƙarshen wannan nazari an fahinci cewa, Bahaushe yana ɗaukar maƙwabcinsa kamar ɗan’uwansa na jini. Abubuwan da Bahaushe ya ɗauka maƙwabtakar su ne taimakon juna da kyakkyawar fata a tsakanin mutanen da muhallansu suke kusa da juna. Wannan tunani na Hausawa an fahimci bai tsaya ga magidantan da suka mallaki muhallin ba. Hatta da matan aure da yara ƙanana suna tafiya a kan wannan tunani da kuma tsari. Binciken ya tabbatar da maƙwabtakar Hausawa ta ƙunshi ɗabi’a mai kyau wadda ta taimaka musu wajen samar da zaman lafiya da rayuwa mai inganci.

Hidradenitis suppurativa (HS) is a chronic and painful skin disease. In addition, HS lesions may be associated with pus and odor, potentially leading to significant stigma. Our patient is a 33 year old single man with previous diagnosis of hidradenitis suppurativa since childhood and now is suffering from depression and anxiety. The patient mention follow clonazepam and cigarette use his discharge are declined. As role of stress and anxiety in inflammation, it is possible that benzodiazepine drug and cigarette smoking reduce inflammation and related secretion.

Background: Head and neck squamous cell cancer” (HNSCC) is a term collectively describes the malignant tumours of oral cavity, pharynx and larynx. Globally, the total burden of HNSCC is estimated to be around 22 millions and males outnumber females by 4.1 to 2. Folate Metabolic pathway is complex and crucial process that contributes to folate levels and DNA methylation. The genes behind the enzymes in the pathway are polymorphic in nature and a specific combination of genetic variants may implicates differential susceptibility to different cancers. Methylenetetrahydrofolate reductase (MTHFR), a key enzyme for intracellular folate homeostasis and metabolism provides methyl groups for the methylation of homocysteine to methionine. Aim: The present study aimed to identify genetic variants of MTHFR C677T (rs1801133) and MTHFR A1298C (rs1801131) among HNSCC patients and controls, gene – environment interactions in North Coastal Andhra Pradesh. Methods: A total of 220 samples (110 HNSCC patients and 110 controls) were included in the study and genotyping was accomplished by using PCR - RFLP technique and analyzed by SPSS. Results: The chi square p values revealed that MTHFR (C677T) polymorphism has association with HNSCC and MTHFR (A1298C) polymorphism does not shows association with HNSCC. For MTHFR (C677T) polymorphism, the odds ratio p value of TT genotype and CC genotype of MTHFR (A1298C) was found to be statistically significant. Conclusions: In conclusion, the MTHFR C677T (rs1801133) polymorphism shows association and A1298C (rs1801131) polymorphism does not shows association with HNSCC.

The torque will be big according to the differantial to crank in crank and linkage mechanism by Lagrange formula. That may be fitted to the stroke ratio well. The bigger the one is the bigger the torque is. The crank force is the biggest in this study. The linkage force may incline as the crank mass and linkage length is big. The torque will be big when the stroke ratio is big and the crank mass is inclining on the crank linkage mechanism in vehicle. The force and torque effective turn is Crank angle q3 > linkage angle q2 > piston angle q1>piston displacement s. The torque turn in one status is piston M1> crank M3>linkage M2.

The translation of legal terms is one of the most difficult problems in legal translation. It involves legal cultures and specific legal concepts as well as source and target language. Therefore it is of great significance to study the translation of legal terms to improve the translation quality of legal English. Criminal charges are typical legal terms. This article selects some charges from the American criminal law, and then compares them with some of the crimes in Criminal Law of People's Republic of China. Based on the comparison of different legal cultures between the two countries and under the guidance of Sarcevic's translation theory, this article summarizes some translation strategies for criminal charges.

The objective of this study was to assess the chemical safety awareness for undergraduate analytical chemistry students. Data were collected from years one (First year) and four (final year) students in February 2018 using structured questionnaires (Multiple choices) designed for this purpose with chemical safety in mind, e.g. hazard warning symbols (signs), first aid, Material Safety Data Sheets (MSDS), waste handling and the use of safety equipment. The results of the study revealed that year four students have an average grade of below average (%51.1) which is significantly low and not encouraging compare to year one students who have an average grade of good (%79.2). Results of this study also showed that there isn’t much noticeable difference between female students' average grades than their male colleagues. Based on the results of this study, researchers recommend that year four student should get some sort of chemical safety training or asked to complete a chemical safety course prior to their graduation in order to avoid the possible happening of chemical accidents on them, their future work colleagues' and the environment.

The objectives of this research are to study the problematic rights of advocates for immunity in the perspective of Law No. 18 of 2003, and how to reconstruct the right to immunity. An advocate with dignity in Catur Wangsa based on the value of justice. This research uses sociological juridical methods. Informants as sources of research data are advocates who are members of the Indonesian Advocate Union (Peradi), prosecutors, judges and police. Data collection techniques are done by interview and documentation. Data analysis through the stages of data collection, data reduction, data display and verification. The results of the study found that The Problematic rights of advocates for immunity in the perspective of Law No.18 of 2003 are: Legal substance, legal structure, legal culture. Therefore, the Reconstruction of the immunity rights of advocates with dignity in Catur Wangsa based on the value of justice is a reconstruction of values, and legal reconstruction is needed, in the form of Reconstruction of Article 14, 15, and 16 of Law no. 18 of 2003, which contains the value of the immunity rights of advocates to realize legal protection for advocates and maintain dignity and integrity as advocates is to enforce administrative sanctions and until the dismissal of an advocate who violates the code of ethics and commits a criminal act, law enforcers are permitted to be examined with the approval of the Advocate Honorary Council.

Introduction: Pleural effusion, that is commonly encountered clinical problem by the Pulmonologists and physicians.The gold standard for diagnosis of tuberculous pleuritis is detection of Mycobacterium tuberculosis bacilli in pleural fluid, either by microscopy/ molecular methods (CB-NAAT) and culture, or the histological demonstration of the caseating granulomas in biopsy specimen. Aims & objectives are to assess Significance of ADA level in the diagnosis of pleural effusion. Materials and method: The study was done in microbiology laboratory at Sir-T Hospital, Bhavnagar, Gujarat from January, 2020 to December, 2020 to Analysis of pleural fluid adenosine deaminase in diagnosis of tubercular pleural effusion. Adenosine Deaminase levels are evaluated by Adenosine Deaminase Assay Kit (DIAZYME). Observation & results: In our study, Total 48 pleural fluid samples were tested for ADA. Out of total 48 samples 34 were males and 14 were females in our study. However out of 48 samples, n20 samples positive for CB-NAAT. Out of the total 48 pleural fluid samples, 20 pleural fluid samples were positive (value >60 U/L) for ADA in our study. Conclusion: From this study, its concluded that Pleural Fluid Adenosine deaminase is important biomarker in diagnosing the Tubercular pleural effusion and can be useful aid in the day to day clinical practice.

Anxiety in communicating in a second language, especially when that language is English, can have a negative effect to the students’ educational goals. A person feels nervous, worried and fearful when anxious. It is a permanent trait, and people are expected to experience it (Woodrow, 2006). Hence, the goal of this study was to investigate the relationship of English language anxiety and academic achievement. One hundred eighty randomly selected senior high school students of St. Mary’s Academy of Hagonoy participated in this study. A test called Foreign Language Classroom Anxiety Scale (FLCAS) was used to measure the English language anxiety. On the other hand, a copy of the General Weighted Average (GWA) of the students was requested from the school to assess their academic achievement. The results of the study showed that fear of negative evaluation and test anxiety are the main causes of anxiety of the senior high school respondents. Eighty-four percent of the respondents had medium level of anxiety and forty-nine percent had outstanding academic achievement. To determine the relationship of the two variables, a regression analysis was employed using the Statistical Packages for Social Sciences (SPSS). The result revealed that English language anxiety exerted no significant effect on the students’ academic achievement. Finally, some interventions and strategies were suggested by the researcher to reduce or eliminate English language anxiety in the classroom.

The ultimate goal of this paper is to provide an in-depth analysis of the frequency of do you have and have you got within the Corpus of Contemporary American English (COCA), the British National Corpus (BNC), and the Corpus of Historical American English (COHA). The COCA clearly indicates that do you have is preferred over have you got by Americans. With respect to the genre frequency of the COCA, it is worth pointing out that in the TV/movie genre, the type do you have is the most widely used one. Likewise, in the TV/movie genre, the type have you got is the most commonly used one. The BNC shows, on the other hand, that have you got is preferred over do you have by British people. This clearly indicates that the type have you got is the most preferable one for British people in the spoken genre. Additionally, the COCA clearly shows that the collocation do you have children is the most preferred by Americans, followed by do you have time, do you have kids, do you have plans, do you have evidence, do you have family, do you have trouble, and do you have access, in that order. The COCA also shows that the collocation have you got time is the most preferable one for Americans, followed by have you got money, have you got room, and have you got plans, in that order. With regard to the collocation of nouns along with do you have in the BNC, it is important to note that do you have children is the most preferable one for British people, followed by do you have sugar (do you have milk, do you have problems), and do you have faith, in that order. In addition, it is significant to note that the collocation do you have children is the most preferable one for both Americans and British people. With respect to the collocation of have you got and nouns in the BNC, it is noteworthy that have you got time is the most preferred by British people, followed by have you got proof (have you got money), and have you got daddy (have you got potatoes, have you got news). Accordingly, the collocation have you got time is the most preferable one for both Americans and British people. When it comes to the COHA, it is worthwhile noting that do you have reached a peak (1,332 tokens) in 2010. This indicates that it was the most preferable type for Americans. It is significant to note, on the other hand, that have you got had the highest frequency (462 tokens) in 1930. From this, it is clear that have you got was the most preferred by Americans.

This article aims to analyze, based on the principles of Applied Linguistics (AL), the media representation in the face of the return of the presenter Xuxa to the Chilean advertising market, through a commercial for a mobile phone brand. In the neighboring country, Xuxa's return caused a resounding success, gaining worldwide repercussion, even surpassing the golden times of the children's songs of that artist. The Theoretical Foundation finds interdisciplinarity among different currents of discursive language studies its main reference for microanalysis. The methodology is of a qualitative and documentary approach. The data reveal a mediatic return marked by the ideology of an artist wrapped in an unattainable affective memory, which also guarantees her wide commercial receptivity in other countries of the world.

Introduction: Phospho-calcium balance disorders are very common in chronic hemodialysis. They are accompanied by a high risk of mortality, mainly due to cardiovascular complications. In this context, the KDIGO finalized recommendations updated to improve the quality of life of chronic hemodialysis and warn the complications which can engage the prognosis for survival. The objective of our study was to analyze the phosphocalcic status in Morocco chronic hemodialysis patients and to estimate the conformity of the results with the recommendations KDIGO. Materials and methods: This is a retrospective study over a period of 8 months from January to August 2018 which includes chronic hemodialysis patients followed at the laboratory of Biochemistry-Toxicology of the Moulay Ismail military hospital and the nephrology-hemodialysis clinic from Meknes. The biochemical parameters evaluated were determined on Cobas®6000 from Roche Diagnostics and then compared to the targets of the KDIGO recommendations. Results: A total of 86 patients were enrolled in the study. The average age of our patients was 44.86 ±12.65 years, with a sex ratio of 1.38. The percentages of patients with phosphocalcic data consistent with the KDIGO recommended targets for calcemia, phosphoremia and PTH1-84 were 75.5%, 50% and 43% respectively. Finally, 17.4% of patients met the KDIGO 2009 recommendations by combining all three criteria. Conclusion: The results obtained during this study should encourage clinicians to improve management of chronic hemodialysis patients.

More than twenty years since the war, Bosnia and Herzegovina remains a nation divided. Critically deficient in social trust, the country is experiencing an imbalance in the various forms of social capital precluding development of diverse horizontal and vertical relationships. Grassroots organisations, in particular sporting ones, have proven a useful avenue in helping build such relationships by uniting diverse groups over a common point of interest. However, one sport remains hereto explored for this potential—CrossFit. Remedying this deficiency, this project relies on CrossFit Sarajevo as a case study and seeks to explore whether this community has generated social capital and if so, what types. Relying on semi-structured interviews with thirteen of the club’s members, it shows that CrossFit can indeed build high levels of social capital and thereby contribute to development of diverse relationships in post-violence contexts. It also highlights the importance of encouraging behavior conducive to the development of inclusive norms and the need for vigilance against a recurring slide towards imbalance in social capital. Ultimately, these findings suggest further studies of grassroots organisations harboring potential for social capital generation—such as CrossFit clubs—and urge more-robust exploration of their permeability and influence across post-violent conflict societies.