Purpose: The research was conducted to determine the knowledge level, awareness status, delay level in treatment and causes of delay of the cases of cutaneous leishmaniasis in Sanliurfa province. Method: The research is a cross-sectional study. It was conducted between November-December 2018. The patients who applied to Sanliurfa Cutaneous Leishmaniasis Diagnosis and Treatment Center (SCLDTC) constitute the study population. 375 people participated in the study. Findings: The median age of the participants was 17 years (mean 22.1 ± 17.9) and 50.9% were under 18 years of age. 53.3% of the patients were female and 46.7% were male. The education level of 51.7% of adult participants and the mothers of participants under the age of 18 was below the primary school. 54.9% of the participants or their families did not work in any job. 45.3% of the patients had facial lesions. A delay was found in 41.4 % of patients although they directly applied to SCLDTC and 58.6% of them who applied to SCLDTC after referral. 344 of CL patients experienced a total of 570 delays in different stages of access to treatment. 32.8% of those who had access to CLDTC after direct application or referral had patient delay. The most common patient delay causes are assuming that it is acne with 16.5% and neglecting with 14.6%. Delays due to health care centers are mostly in public hospitals at 13.2%. 91.6% of delays are due to dermatology clinics. The reason for the delay is that misdiagnosis and the wrong treatment in dermatology clinics. 49.6% of the delay cases were caused by the CLDTC and the most common reason for the delay was the absence of medication with 48.4%. In the logistic regression model, where independent variables affecting the patient delay are evaluated together, that the lesion is on the face increases early treatment application 2.4 times and that having only one lesion increases it 1.8 times. Result: Patients' level of basic education and knowledge of the disease is low. Although the patients knew that they should apply directly to the CLDTC, patient delay levels are high. The presence of lesions in regions other than the face decreases patients' behavior of seeking early treatment. Therefore, the information and awareness of the patients and the society about CL should be increased, the patients applying to CLDTC and their relatives should be informed, these training should be pursued and supported by posters and brochures in women's support centers, schools, etc. Compliance training should be performed with appropriate time intervals in CLDTC, with dermatologist physicians, who will work in Sanliurfa in order to reduce system delays. Pentavalent antimony required for the CLDTC and other centers should be provided on time.

Construction is a highly demanded for rapid development. In Chitwan, recently, large construction projects are ongoing that includes commercial buildings in majority. However, Construction industry is taken as the dangerous and dirty industries. Like every construction project, commercial building projects also involve different factors of Accident. Safety aspect is less concerned on the construction site. The objective of the paper is to assess the causative factors accidents in construction projects of commercial Building in Bharatpur. It will be significant to the construction practitioners and its stakeholders. It helps them to avoid accidents by maintaining safety requirement in their construction project and help them implement good provisions of safety adopted by other companies. Site visit of the Housing and interview were conducted after extensive literature review to list all the possible factors for questionnaire preparation. Questionnaires survey was conducted to all the consultant and contractor team working in the Area. Relative Importance Index was used to rank the major accident causation factor. The causation factor attribute to organizational level were identified as major one. No compliance to governmental safety rules and regulation, Workers Negligent in wearing personal protection items, Lack of working space and site layout, Condition of equipment, Workers was rushing to the work and Appropriate Personal Safety procedures were not specified were majour factors of accidents. The housing safety management in the project was inferior to the anticipated codes and byelaws. Some of the accident causation factor from the literature review also coincides with the risk and hazards in the housing construction.

This study aims to determine how the role of human development cadres (KPM) in handling stunting and community empowerment strategies in handling stunting in Malutu Village. The method used in this research is a combination research that combines quantitative methods and qualitative methods to be used together in a research activity, so that more comprehensive, valid, reliable and objective data are obtained. Data were collected by interview, area mapping and documentation. Interviews were conducted with key figures, namely the Head of Malutu Village, Posyandu Cadres, Human Development Cadres and Village Empowerment Assistants. The results showed that the problems faced by Human Development Cadres in handling stunting in Malutu Village were that the function of cadres was not optimal, the capacity building given their time was still limited so that field supplies were not sufficient and there was no further training and lack of public awareness about the dangers of stunting. The strategy in community empowerment programs in an effort to deal with stunting in Malutu Village is the strategy of SO or strength and opportunity. SO strategy is a strategy that is determined to get optimal effort. After knowing and taking advantage of the strengths, we can take full advantage of the opportunities that exist. Community empowerment strategies that can be carried out are using the available budget for optimal stunting management, increasing the capacity of human resources through support from the Hulu Sungai Selatan District Government and establishing communication between actors and making joint work plans in handling stunting.

One main idea guided this research article: can feedforward neural networks (FNN) be used by investors to cross-validate their investment decisions and stock market strategy entry-signals. Therefore, the research question of this study was: how profitable is a break-out strategy if the strategy is cross-validated by a FNN for U.S. stock markets? The study followed a quantitative, quasi-experimental design, regarding in-sample and out-of-sample tests. For the method of analysis, five hidden layers of a FNN were computed, a sigmoidal function, and break-out strategy conditions as well as entry-signals. As a result, the break-out strategy was profitable to trade with a money management strategy; however, the transaction costs had an effect if for the exit strategy the assets were sold at the end of the day. The FNN could only provide cross-validating results if a dichotomies entry-signal variable was added to the model. The study is relevant for portfolio managers and investors, who are interested in a second assessment of their data or market entry decisions through a cross-validation performed by a FNN.

This research aims to study and determine the performance of land agency officials in issuing certificates in Banjarbaru and to find out the supporting factors and obstacles to the performance of land agency officials in issuing certificates in Banjarbaru. The research method used in this study is a qualitative descriptive method with the geetz interpretive model approach, namely a phenomenological approach that seeks to find meaning instead of looking for laws, to understand every problem and not to seek a theory of phenomena. The results showed that the performance of the land agency apparatus in issuing certificates in Banjarbaru was still less than optimal, because the apparatus still expected compensation from the applicant; there is discrimination among officials in providing services because of the proximity system; Responsibility is still lacking due to complaints about making measuring drawings and land parcels maps; Accountability is not good because there are many community unrest/complaints, lack of transparency about the cost and time of certificate issuance. The supporting factors for the performance of the land agency apparatus in issuing certificates in Banjarbaru are: discipline, People's Service for Land Certificates (LARASITA) cars, computerized systems, waiting rooms, information boards and land flow charts. The factors inhibiting the performance of the land agency apparatus in issuing certificates in the city of Banjarbaru are human resources, lack of public understanding, lack of computer infrastructure, low apparatus capacity, lack of apparatus coordination, insufficient document storage, no lost certificate replacement funds, no guarantee of security for the land agency apparatus at work.

The European Convention on Human Rights plays a key role in ensuring the protection of human rights, whereas, in accordance with the principle of subsidiarity, the guarantee of the rights enshrined in the Convention implies, on the one hand, their observance by national authorities and, on the other, the removal by each signatory State of the Convention of all negative consequences caused in the event of their violation. The provisions of the Convention and its Additional Protocols have direct applicability in domestic law, and their correct applicability and interpretation is made by reference to the jurisprudence of the European Court of Human Rights, jurisprudence having super-legislative force in the national law of the signatory states and interpreted working authority. The existing situations in practice show numerous abuses of the authorities by which the rights of the accused persons were limited, harming their interests. In the administration of the evidences in criminal proceedings, the observance of the presumption of innocence has a special role in ensuring the protection of the rights of accused persons, while contributing to reducing the risk of possible abuse. Therefore, it is necessary at the level of the judicial system to promote the observance of the presumption of innocence and, implicitly, of the right to silence and not to incriminate oneself.

This study aims to describe the implementation and find out the support and obstacles faced by the implementation of e-planning in the preparation of the 2019 South Kalimantan Provincial Government Work Plan Document. This research uses a qualitative approach that will encourage researchers to go into the field to observe directly the activities that are carried out conducted at the research location. Data collection techniques used in this study were observation, interviews, and documentation. Sources of data in this study are primary data, namely records of interviews, results of field observations and data on informants and secondary data in the form of completeness documents from implementing agencies and other research results. The results showed that the implementation of e-planning in the preparation of the 2019 South Kalimantan Provincial Government Work Plan Documents had been carried out well. This can be seen from the compliance and fluency of the e-planning routine, where most SKPDs have complied and the smoothness of the e-planning routine is already good. Although there are still some obstacles such as limited human resources and a lack of support from the heads of related agencies. Even so, the implementation of e-planning has had a good impact, such as the consistency of input and output in the RKPD and Pre-RKA documents and making Work Plan documents easier.

In contrast to the European situation regarding the criminalization of the offence of abuse of office, in which many states have chosen to include in separate regulations belonging to the scope of their criminal law a series of facts that together could be classified as abuse of office, in Romania, the legislator, incriminated such illicit conduct in a single text of law, under the generic name of abuse of office. The national criminal provisions on “abuse of office”, “excess of authority” and similar expressions should be related only to the exercise of public power, strictly interpreted, being possible to be invoked and applied only in that cases in which the offence is of a grave nature, such as for example serious offences against the national democratic processes and against fundamental rights, infringement of the impartiality of the public administration and so on. This kind of provisions must cover various forms of serious offences that public servants may commit and they are not easy to be incriminated in detail in advance.

Primary dysmenorrhea is painful menstrual period without any underlying pathological cause. It is a common problem among adolescents. Despite the high prevalence, primary dysmenorrhea is often poorly treated, disregarded by health professionals, pain researchers, and the adolescents themselves. They may accept it as a normal part of the menstrual cycle. Increased levels of prostaglandins E2 and F2α cause dysrhythmic myometrial contraction, hypercontractility, increased muscle tone leads to ischaemia and pain. It affects the quality of life and performance. Non-steroidal anti-inflammatory drugs (NSAIDs) are the first line of treatment. Progesterone significantly relieves the pain in subsequent cycles. Combined oral contraceptives (COC) are invaluable in the management of dysmenorrhoea.

The disaster of Severe Acute Respiratory Syndrome COVID-19 caused by coronavirus infection (SARS-CoV-2) has led to a global pandemic and one of the most significant challenges to the healthcare professions. The number of confirmed COVID-19 cases among healthcare workers has been increasing. Coming to Dental practices, these are the crucial points for cross-infection, hence maximum care must be taken to minimise the risk of infection to, from, or between dental care professionals and patients. Covid-19 may also spread through aerosols generated during various dental treatments, resulting in transmission between patients and dentists. Since Covid-19 cases have also been reported among children, pediatric dentists are at risk of Covid-19 infection. At the same time pediatric dentist has a major task to deal with their routine dental treatment procedures in this covid pandemic,starting with patient management till the treatment ends.

With a population threatening towards 133.92 crores it is important for a country like India, to make mandatory efforts, providing health benefits to all especially those who are devoid till date. A terrific amount of strain is now being placed on the available medical facilities due to the low doctor-population ratio in India, which limits the time available for doctors to communicate with patients, especially those who belong to a lower socio economic class. Thousands of deaths are reported from unsafe abortion due to the lack of trained abortion providers, lack of knowledge, availability of safe services, compounded by the social stigma surrounding abortion. To save themselves from the surrounding stigma, they then turn towards local, less experienced doctors who charge low but, due to the lack of experience and proper knowledge the condition becomes more severe causing Septic abortion. Septic abortion, whether induced or spontaneously occurs because of improper, unsafe, and inadequate removal of products of conception. Subsequently products of conception become infected, bacteria infiltrate the placental tissue and infection spreads to the uterus. A condition unequivocally related to maternal complications such as hemorrhage, trauma and sepsis. Thus to avoid such outcomes the current article attempts to focus on the major challenges faced by the woman in India, further mentioning the prevention required and solutions associated with septic abortion.

Adult patients seeking orthodontic treatment are increasingly motivated by esthetic con¬siderations. The majority of this patients reject wearing labial fixed appliances and are looking instead to more esthetic treatment options, including lingual orthodontics and invisalign appliances. Since Align Technology introduced the invisalign appliance in 1999 in an extensive public campaign, the appliance has gained tremendous attention from adult patients and dental professionals. The transparency of the Invisalign appli¬ance enhances its esthetic appeal for those adult patients who are averse to wearing conventional labial fixed orthodontic appliances. Although guidelines about the types of malocclusions that this technique can treat exist, few clinical studies have assessed the effectiveness of the appliance. A few recent studies have outlined some of the limitations associated with this technique that clinicians should recognize early before choosing treatment options.

Aim and objective: To evaluate the presence, width and the initial part of mandibular incisive canal (MIC) and its relationship with the mental foramen (MF) in 60 CBCT scans for pre-surgical implant planning. Material and methods: In this retrospective analysis, random samples of 60 mandibular CBCT scans were taken to examine the dimension of MIC and its relationship to MF. Result: The location and measurements of the MIC in a contiguous system is measured by 60 CBCT scans. MIC was identified in 71.67 percent of cases with a mean diameter of 2.56mm, i.e. 45% started before MF and 26% began extremely close to foramen. Conclusion: The results from this analysis indicates that the pre-surgical preparation of the MIC in CBCT should be performed in order to ensure a minimally invasive and optimum location of the implant.

Fibrous dysplasia (FD) is a non-neoplastic developmental hamartomatous disease of the bone, characterised by a blend of fibrous and osseous elements in the region. It is a lesion of unknown etiology, uncertain pathogenesis, and diverse histopathology. With an incidence of 1:4000-1:10,000 it seems to be a rare disease. It represents approximately 2.5% of all bone lesions and about 7% of all benign bone tumors. The objective of this paper is to present an unusual case of Fibrous Dysplasia. A patient with chief complaint of pain and swelling in right side of the mandible was examined. OPG showed poorly defined mixed density pattern. Ultrasound of thyroid revealed enlarged nodes. CBCT revealed hypodense area. CT also showed features of osteomyelitis. Bone scan suggested fibrous dysplasia, which was confirmed by biopsy. Patient also had deficiency of Vitamin D.

Replacement of missing teeth with dental implants is has greater curve In recent days.as the importance of the treatment increases the researches among this procedure also increased.in this way so may new methods also invented to improve the treatment success. Placement of dental implants with the help of the dental implants is a successful criteria in present days.so the main aim of this review articles is to describe the various implant surgical stents and to describe the considerations to use the implant surgical guides