Scientific rationale for the study: Gingival recession is a condition causing functional and esthetic disturbances and has a high prevalence rate. A wide range of surgical techniques and membranes have been proposed through the decades for recession coverage. Amnion/ chorion membranes are rich in type I, IV, V, and VI collagen, proteoglycans, laminin, and fibronectin, demonstrating properties of wound protection, pain reduction, and effect on epithelialization and being bacteriostatic in nature. The available evidence suggests that Coronally Advanced Flap (CAF) combined with amnion/chorion membranes has significant effect on gingival recession, gingival phenotype, gain in clinical attachment level, increase in Width of Keratinized Gingiva. Therefore the placental allograft is a viable alternative option for root coverage procedure in cases where there is a lack of autogenous connective tissue available to treat gingival recession defects or the patient is unwilling for a second site of surgery. Principal findings: The available evidence suggests that Coronally Advanced Flap (CAF) combined with amnion/chorion membranes has significant effect on recession coverage, gain in clinical attachment level, and increase in Width of Keratinized Gingiva. The membrane has also shown to be effective on the gingival biotype, changing to a thick biotype. Practical implications: The placental allograft is a viable alternative option for root coverage procedure in cases where there is a lack of autogenous connective tissue available to treat gingival recession defects or the patient is unwilling for a second site of surgery.

The trademark role is important in advertising and marketing a particular business because the public often associates a distinctive image or the quality of goods and services with certain trademarks. This research will analyze the essence of adopting good faith in resolving disputes concerning well-known trademarks in Indonesia. The research adopted normative legal research using statute, cases, and conceptual approaches. The results show that the essence of good faith in well-known trademark dispute resolution is to protect well-known trademark owners who are honest, rational, and have tried to find a trademark's existence. Therefore, their trademark has no essential or overall similarity with other parties to minimize losses. The well-known trademark cases that have been submitted showed that the lack of indicators of good faith resulted in deciding the case. The Commercial Court of Central Jakarta decided based on the subjective of the judge. For this reason, the problem of disputes becomes complicated and complicated can arise when court decisions are inconsistent.

Seborrheic keratoses (KS) are benign skin tumors that start in middle-aged people and develop in the elderly. They are very limited pigmented lesions, single or multiple, with a warty surface. They most often sit on the head, neck, trunk and folds. Their size usually varies from a few millimeters to a few centimeters. We report a case of KS of the external auditory canal.

Formal assessment of students’ learning outcomes occurs mainly in the classroom. The psychological and academic well-being of most learners is hinged on the assessment feedback from teachers to the learners, parents and school authorities. The level of teacher assessment literacy, therefore, determines the competence of the teacher in making value judgment on the behaviour, ability and prospects of a learner. The purpose of this study was to investigate the level of secondary school teachers’ assessment literacy. The survey design was adopted for the study. Two research questions and two hypotheses were tested at 0.05 level of significance. The population of the study comprised all secondary school teachers in Rivers East Senatorial District, Nigeria. Stratified random sampling technique was used to draw a sample of 500 teachers from 10 secondary schools in Rivers East Senatorial District. The instrument used for data collection was: “Teacher Assessment Literacy Test” adapted from “Teacher Assessment Literacy Questionnaire”. The instrument was validated using KR2O and a reliability coefficient of .76 was obtained. Descriptive statistics and ANOVA were used for data analysis. The results revealed that the level of secondary school teachers’ assessment literacy is significantly influenced by in-service training and teachers’ area of specialization. Secondary school teachers’ assessment literacy level was higher among teachers who had been retrained through in-service training. It was recommended among others that more opportunities be given for the retraining of teachers in educational assessment, especially in practical application of assessment processes through workshops and exchange programmes to ensure global best practices among secondary school teachers in Nigeria.

The paper aims to access and evaluate the index as well as engineering properties of clay soil when subjected to controlled thermal treatment. To achieve this, clay soil was collected from a specific location in Amassoma, Southern Nigeria, and heated up at 200oC, 400oC, 600oC and 800oC. To adequately inform the engineering society on the potentials of thermally treated clay soil in the construction industry, properties such as specific gravity, Atterberg limits, California bearing ratio test (CBR), and compactibility were determined. Specific gravity increased by 60% between the control at room temperature and the specimen produced at 800oC. The increment was direct showing flattening tendencies between 600oC and 800oC. A direct relationship was found to exist between calcination and compactibility for all specimens between 27oC and 800oC. A similar trend was observed for CBR values of which at 800oC, the soil specimen having a CBR of 13.51 had improved in CBR by 655% when compared to the control’s CBR of 1.79. An inverse relationship was observed between calcination and Plasticity Index. At 800oC, the plasticity index having a value of 6.9 had reduced by 63% when compared to the control specimen having a PI of 18.4. By the process of calcination, the soil was successfully transformed from a clayey, high plastic, cohesive soil with very high affinity for water and unsuitable subgrade for pavement purposes, into a silty, low plastic, partly cohesive soil with reduced affinity for water having a fair CBR and applicable for subbase utilization in pavement construction.

With the increasingly close communication and cooperation in today’s society, translation, as a bridge for information and cultural transmission between two countries and even many countries, has attracted widespread public attention. At the same time, people also put forward higher requirements for the quality and efficiency of translation. In order to satisfy people’s desire to share international information and opportunities, computer-aided translation is playing an increasingly important role. But people can not help questioning that, compared with the traditional human translation, how significant is the progress of computer-aided translation? What are its advantages and disadvantages? What is the future of computer-aided translation? And how much of a role does the terminology database play in translating our reality? That’s what this paper is about.

The concept of customer satisfaction is considered important for all organizations of different specialties, so getting to know what affects and satisfies the customer greatly helps the organization's success and achieving it to the highest levels of competition with similar organizations in the same field, This study aimed to investigate the effect of smart phone on customers in the Jordanian commercial banks satisfaction. To achieve the goal of the study, the comparison method was used based on the previous studies, the results of study’s showed that there is a trace of smartphone apps on repeat purchase, the willingness of the purchase in the Jordanian commercial banks, there is the impact of various factors on the client access the degree of satisfaction from doing business with the bank or its own organization. Through the results achieved, we recommend that banks pay more attention in activating electronic services, especially for high-end mobile applications, as they play an important role in customer satisfaction, taking into consideration future studies on the importance Conducting a longitudinal analysis on the same topic by using a conceptual framework and relying on data collection and analytical data, as customer decisions related to electronic services change and evolve with time quickly, which achieves important results that can be used to follow the achievement of satisfaction and repeatedly to purchase in the Jordanian commercial banking sector.

Wastewater contains a variety of toxic dyes and heavy metals. Dyes are released by the different types of industries as environmental pollutants which has become a serious issue for the health of thousands of people. Azo dyes are released from the industries as environmental pollutants and are mixed to the drinking water of human due to their direct discharge into human inhibited areas. Many techniques are available for the degradation of dyes from wastewater such as reverse osmosis, coagulation, ion exchange, photo catalysis, and photo-Fenton etc. However, the traditional photo catalysis and photo-Fenton-like catalytic processes are active only under the irradiation of ultraviolet (UV) light. The photo catalysis involves the generation of electron (e−)-hole (h+) pairs under suitable light irradiation. There are many catalysts that have been used in photo catalysis such as ZnO, CdS, TiO2. TiO2 is used in the photo Fenton reaction that catalyzes the reaction between iron and hydrogen peroxide. There are many advantages of photofenton reaction such as reaction can be carried out with high performance and can be operated at the room temperature.

Aim: To systematically examine the published findings on the clinical effectiveness of periodontal therapy on anemic status of patients with chronic periodontitis. Method: A systematic search was conducted using MEDLINE, Cochrane Central Register of Controlled Trials, Google Scholar, Google, Clinical trials registry and manual search using DPU Vidyapeeth library resources were searched up to 31st October 2019 to identify appropriate studies. All cross reference lists of the chosen studies were also screened. Two reviewers assessed the eligibility of studies. Results: The electronic and manual search identified a total of 138 articles. A final screen consisted of 21 articles out of which 16 articles were selected for full-text assessment. Finally, 5 articles were selected for detailed evaluation for the systematic review which evaluated the efficacy of effect of periodontal therapy on anemic patients with chronic periodontitis. Conclusions: Chronic periodontitis may cause to anemia and provides evidence that non-surgical periodontal therapy can improve the anemic status of patients with chronic periodontitis.

Introduction: Most people infecting with the SARS-CoV-2 and experiencing mild to severe respiratory illness. Individual knowledge and attitude will improve practices towards covid-19 prevention and precaution measures and it is essential to control the spread of disease. Hence the aim of the study was to evaluate knowledge, attitude and practice towards COVID-19 among undergraduate students as students pays important role in the society. Materials and methods: Cross sectional study was carried out with 60 samples that met the inclusion criteria were selected using convenience sampling technique. Google form was used to collect the data among participants. It contains multiple choice questionnaire regarding demographic variables, knowledge, attitude c, and practice towards COVID-19. The data were tabulated and analyzed by descriptive and inferential statistics. Result: The finding of the study reveals that out of 60 participants, 34(56.67%) had moderate knowledge, 47(78.33%) had favorable attitude and 49(81.67%) had adequate practice through COVID-19 preventive measures. There is a statistically significant positive correlation between knowledge and practice, knowledge and attitude and attitude and practice at the level of p<0.0001. Chi-square test reveals that there is a significantly association between the level of knowledge and practice with selected demographic variables of gender and year of study at the level of p<0.05 and there is no significant association between attitudes with a selected demographic variables. Conclusion: Findings of the present study revealed that, the arts and science college students had generally a moderate level of knowledge, possess a positive attitude, and performed a good practice and active behaviors of preventive measures towards COVID-19. The need to improve the knowledge to promote positive attitude and practice related to updated trends regarding COVID-19. The result of this study may be utilized as a baseline for planning awareness campaigns in the future.

Squamous cell carcinomas represent approximately 90% of cervical cancers. Squamous cell carcinoma with sarcomatoid differentiation is a rare histological variant with a very limited number of cases reported in the literature. This entity has been described more frequently in other locations (oral cavity, pharynx, esophagus, skin and larynx). It usually affects postmenopausal women. The histological diagnosis is based on a squamous cell carcinoma fusing with a spindle cell component. Cytokeratin is positive in both components. Because of its rarity, no treatment recommendations are available and it is generally managed as a squamous cell carcinoma of the cervix. We report a case of a 70-year-old female patient presenting an invasive squamous cell carcinoma of the cervix with foci of sarcomatoid differentiation.

The people, in essence, have the highest power with government from, by, and for the people. However, the people cannot implement it in government implementation, so representative democracy emerges. This study aims to find and look for the right formula to maintain people's sovereignty in a democratic general election process. This paper is based on the normative legal research method, which refers to the legal norms in statutory regulations. The results show that guarding the people's sovereignty through democratic elections is the commitment of all components of the nation. Future elections are increasingly complex, such as the alleged existence of dynasties of power, the reach of political education, as well as the recruitment mechanisms of political parties. Not to mention the most powerful using the issue of ethnicity and religion issues as a black campaign. These things will colour the future elections. For the resulting government to gain people's legitimacy, it is necessary to have populist regulations and be escorted by the system through independent organizing institutions, eliminating political dowries and political education for all stakeholders.

Alcohol is the major cause of liver disease. Liver is an important and largest gland of the human body, it detoxifies various metabolites, synthesize various proteins and produces various biochemicals necessary for digestion. Alcoholic liver disease could be due to long term alcohol consumption, including fatty liver, alcoholic hepatitis, and chronic hepatitis with liver fibrosis or cirrhosis. Fatty liver is present in more than 90% of daily as well as binge drinkers. Although fatty liver will develop in any individual who consumes a large quantity of alcoholic beverages over a long period of time but this process is transient and reversible if timely care is taken. The prognosis of severe alcoholic liver disease is very poor, the mortality of patients with alcoholic hepatitis concurrent with cirrhosis is nearly 60% at 4 years. The conventional treatment mainly includes steroid therapy in alcoholic hepatitis, fluid tapping for ascites and in end stage cirrhosis of liver with last choice of liver transplantation. However, Ayurveda has options to liver transplantations. According to Ayurveda it can be correlated with Yakridalyodara. The treatment protocol mentioned in Ayurveda is mainly Nityavirechana (Medicated purgation) for this disease along with various oral medications. Here is a case report of a diagnosed case of Alcoholic liver disease, presented with main symptoms: nausea, vomiting, swelling in bilateral foot, weakness in the body, reduced appetite, gradually weight reduction and semisolid stool with frequency of 6-7 times/ day. Patient had history of Reduced appetite and frequent vomiting. Treatment was done on the basis of Ayurvedic principles and after 2 months of treatment, there was found significant recovery of the patient subjectively as well as objectively. After 7 months of treatment patient got complete improvement, and free from any complications and follow-up of patient is still going on regularly.

Background: Angiogenesis is defined as the expansion and remodeling process affecting the vascular network and it occurs in many pathological conditions including cancer. Hepatocellular carcinoma (HCC) is one of the hyper-vascular cancers. Understanding the process of angiogenesis and its regulatory mechanisms are crucial in HCC treatment. Almost all approved systemic therapies used in HCC target the angiogenesis process especially the vascular endothelial growth factor (VEGF) pathway. Studying genetic variations and other factors that affect angiogenesis could allow tailoring systemic therapy with the most benefits to patients. Aim: Investigating the association between the VEGF variant (rs699947) and the progression of HCC was the main target of this study. Methods: A total of 122 subjects were enrolled in this study (64 patients with HCC, 24 patients with cirrhosis and 34 subjects served as a control group). Genotyping of the VEGF gene (rs699947) was performed by tetra primer amplification refractory mutation system-polymerase chain reaction (ARMS-PCR). Results: The AA genotype and the A-allele were found to be lower in patients with HCC compared with other groups. In HCC patients, the AA genotype was associated with higher serum albumin and lower total bilirubin level. Conclusion: The variant allele (rs699947) could be considered as a predictive factor for HCC development.

Different infections in blood leads to infectious diseases that are caused by viruses, bacteria and parasites. Microorganisms are used in the production of antibiotics, vaccines, steroids, etc. The advantages and limitation of molecular techniques including real-time polymerase chain reaction, genome sequencing, molecular typing, microarrays, PCR and multiplexing required advancements at molecular level. Nucleic acid-based tests are used in diagnosing infectious diseases for isolating nucleic acids from through gel electrophoresis, and nucleic acid hybridizationsn techniques to analyze DNA or RNA. Polymerase chain reaction (PCR) is an in situ DNA replication process that allows for the exponential amplification of target DNA in the presence of synthetic oligonucleotide primers. The advances in chemistry that made real-time PCR possible were also significant, and modifications of these chemical reactions continue today. In situ hybridization has been introduced into the clinical microbiology laboratory and should prove to be a useful technology for the rapid characterization of bacteria and fungi in positive blood culture samples. Multilocus sequence typing (MLST) is an unambiguous, portable and nucleotide-based technique for typing bacteria using the sequences of internal fragments of (usually) seven house-keeping genes. Microorganisms are used in the production of antibiotics, vaccines, steroids.