December 2021

The study examined pain reduction level of patients with knee osteoarthritis after a 12-weekexercise programme: Coronavirus prevention protocols implication. Lack of physical activity is associated with muscle weakness, pain, joint stiffness, decreased range of motion and general deconditioning which lowers immunity. The research design is quasi- experimental. Sample consist of randomly selected 100 knee osteoarthritis patients, age range of 25-85 years, clinically diagnosed with mild to moderate knee deformity, without record of knee surgery. Height, weight, BMI were recorded. 6 Minutes’ Walk was administered on participants for 12 weeks. A self- designed questionnaire was administered. Findings revealed that most participants were females (73%); aged above 50 years (48%); BMI≤25 (79%); can do moderate to vigorous PA without fatigue after exercise (91%) and moderate pain reduction level (57%). The result of r=. 1110, n =100, P=.278 revealed no statistically significant relationship between exercise and participants’ pain reduction level and no joint contribution of demographic variables. Since most participants were able to function in moderate to vigorous PA after the walk, regular daily walk is hereby recommended, notwithstanding Coronavirus prevention protocols.

This study deals with the use of games to promote communicative skills in English as a Foreign Language (EFL). It results from the problem statement that follows: teachers do not use the best methods or techniques in order to teach the English language. They do not use techniques that really meet the pupils’ needs. The study investigates the effectiveness of using games in the teaching/learning English as a Foreign Language. It aims at finding out whether this teaching technique helps learners to effectively learn English and well remember new words and structures. The sample of this study was made of 5 teachers and 45 tenth grade pupils at Padre Builu one of Secondary schools in Cabinda. Using the qualitative method, the researcher used questionnaires and classroom observation in order to collect data. At the end of the research, most of pupils acknowledged the importance of using games in classroom. The results proved that while using games, learners unconsciously learn grammar structures and new words; learners’ participation in the lesson is encouraged, interaction among the learners is promoted, etc. In the light of these findings, the researcher really recommends the use of games to all teachers of English in Cabinda. They will arouse interest in learning and help pupils to make noticeable progress in English language learning.

Background: The aeLASTIC training method is a functional training in orthostatic position. It was first described in 2016 as a mechanical application of the Lyapunov Stability (LME) law. The aeLASTIC tool allows working on muscle balance to improve postural balance. Aim of the Study: The application of aeLASTIC training can introduce a proprioception to maintain the body in a steady posture after using this training in a 20-minute workout twice a week for two weeks. Methods: This is a pilot study with 24 healthy students (18-25 years old of Perugia University Department of Medicine and Surgery- Sport Science, males and females) which were divided into two random groups (12 students each). Group A had been proposed a 20-minute aeLASTIC training workout twice a week for a period of two weeks. All the subjects were evaluated with a Spinal Mouse, which allows scientific respect for research: repetitiveness of the test, non-invasive, rapid execution, and immediate evaluation. The two evaluations were proposed at the beginning of the class and 45 days later. During the experiment, two measurements were examined during a Mathias test: one of the total segment in sagittal position; the other one of the lumbar segment, also in sagittal position. The data collected was compared between the two groups: group A, those who have exercised with the aeLASTIC training and group B, the control group. The data was gathered with a two-tailed Student’s t-test. Variations were analyzed by paired Student’s t-test. Statistical significance was accepted at a 0.05 level of probability. Data were analyzed by SPSS statistical software, version 22.0 (SPSS Inc., Chicago, IL, USA). Results: The comparative study of Group A (aeLASTIC training) and Group B (controls) showed a significant difference in the post test value in scores between the two at P=0.0001. There is an improvement in training in the total segment during the Mathias test. Also an improvement of the lumbar segment during the Mathias test between Group A and Group B was observed, showing an improvement in both groups. However, when comparing the data, a superior reduction of lumbar segment in Group A (aeLASTIC training) can be seen. Conclusion: 20 minutes of work with aeLASTIC training, twice a week for two weeks in orthostatic position, have a positive effect on the spine and posture and to activate the abdominal muscles.

Introducción: Debido a las actividades inherentes del personal del servicio activode la Armada de México, son constantes las lesiones ligamentarias,en este caso en particular, la lesión del ligamento cruzado anteriorde la rodilla (LCA). Actualmente contamos con diversas técnicas y recursos para lareparación del LCA, lo que se busca en este estudio es realizar unacomparación sistemática de los resultados clínicos de pacientespostoperados con dos técnicas diferentes, teniendo en cuenta quees personal en el servicio activo. Esto mediante cuestionariossubjetivos y análisis objetivo de las características clínicas en cadapaciente. Objetivo: Identificar los resultados clínicos obtenidos en reconstrucción de ligamento cruzado anterior en militares en el activo. Método: Estudio observacional, comparativo, longitudinal, prospectivo, prolectivo, unicéntrico y heterodémico, donde se compararon los resultados clínicos de reparación de ligamento cruzado anterior en militares en el activo con uso de aloinjerto y autoinjerto en 23 pacientes que cumplieron criterios de inclusión para el procedimiento quirúrgico del año 2017 al 2019 en el Centro Médico Naval. Resultados: Se incluyeron 46 pacientes los cuales fueron sometidos a reconstrucción de ligamento cruzado anterior por indicación de lesión completa de ligamento cruzado anterior respectivamente por el servicio de cirugía articular del Centro Médico Naval. Se tomaron en cuenta 23 pacientes (46 en total) para cada rubro de reparación de ligamento cruzado anterior con injerto autólogo (patelar contralateral) e injerto heterólogo (ligamento cruzado anterior cadavérico). Con una media de edad de: autólogo (35.6 años), heterólogo (36.7 años). IMC promedio: autólogo (25.56), heterólogo (26.56). Se observa un mejor nivel de beneficio clínico en los pacientes con injerto heterólogo, tanto en evaluación por escala de IKDC (media 95.52 +/- 1.85) como en escala de Lysholm (media 94.91 +/- 1.62) en comparación con los injertos autólogos, IKDC (media 89.92 +/- 2.55) y Lysholm (media 86.04 +/- 5.58). con valor de p=0.0001 para ambos casos. Conclusiones: El análisis de la información recabada en nuestro estudio sugiere que el uso de aloinjerto para la reconstrucción del LCA presenta mejores resultados clínicos en comparación con el uso de autoinjerto. Se realizo a todos los pacientes la aplicación de las escalas IKDC y Lysholm, para la evolución clínica de resultados subjetivos de mejoría clínica a un seguimiento de dos años. Donde se pudo observar una diferencia significativa (p=0.0001) al comparar ambas técnicas de ligamento cruzado anterior, obteniendo una superioridad de funcionalidad referida por los pacientes donde se hizo uso de heteroinjerto.

Covid-19 is a disease that affects the whole world and often causes the death of hundreds of thousands of people with lung involvement. In recent years, it is an unprecedented reason for occupancy in hospital wards and intensive care units. In this study, it was aimed to compare the lung dynamics, prognosis, and mortality of vaccinated and unvaccinated patients in the intensive care unit. Patients hospitalized in Intensive Care Units between August 1, 2021 and September 30, 2021 were retrospectively examined. A total of 197 vaccinated and unvaccinated patients over 18 years of age, with positive PCR tests, and hospitalized in the intensive care unit were included in the study. Age, gender, comorbidity, vaccination, oxygen support, mechanical ventilator parameters, intubation times, radiology data and mortality of the patients included in the study were examined. According to our study, Covid-19 disease is more common in male gender, patients over 65 years of age and those with comorbidities. Unvaccinated patients are 4 times more than vaccinated patients in intensive care. Almost all patients need oxygen support, but intubation is more common in unvaccinated patients. Mortality rates in the intensive care unit; it was found in 18% vaccinated patients, 64% unvaccinated patients, 53.8% overall. The most common causes of mortality were ARDS and sepsis. Severe ARDS is more common to unvaccinated patients. Lung dynamic compliance <18 mL/cmH2O is associated with mortality. Severe lung damage on CT score is associated with ARDS and mortality. Mortality is more common to unvaccinated patients.

Background: Pressure ulcer is a serious problem that faces the medical team especially the plastic surgeon, physical therapists and other health care providers, Pressure ulcers also affect quality of life and lead to more frequent hospitalization. Aim of Study: To determine and compare effects of high voltage electrical stimulation and honey therapy on wound healing of lower limb pressure ulcers: Subjects and Methods: In the current study, efficacy of high voltage electrical stimulation versus honey therapy in the treatment of lower limb pressure ulcer were investigated. The study involved thirty patients suffering from lower limb pressure ulcer were selected randomly from INPATIENT Department of El Helal Hospital, their age ranged from 30 to 50 years. Patients who had psychological or mental disorders, cardiac disorders, any systemic disease that may interfere with study, blood or auto immune disease and diabetes mellitus were excluded from this study. These patients were divided randomly into two equal groups in number; Group A(High Voltage Electrical Stimulation Group): Fifteen patients with lower limb pressure ulcer who treated with HVES three times per week, for 24 sessions or until healing and regular wound care. Group B (Honey Therapy Group): Fifteen patients with lower limb pressure ulcer who treated with Honey Therapy three times per week, 24 sessions or until healing and regular wound care. Data obtained from both groups pre and post treatment regarding ultrasonographic ulcer depth (UUD) were statistically analyzed and compared. Results: Finding of the current study showed that there was significant decrease in (Ultrasonographic Ulcer Depth) UUD before and after treatment in both groups. There was no significant difference in the UUD between the group A (High Voltage Electrical Stimulation Group) and group B (Honey Therapy Group) post treatment. Conclusion: Application of High Voltage Electrical Stimulation (HVES) and Honey therapy in the treatment of lower limb pressure ulcers had a valuable healing effect. But there was no significant difference in the ultrasonographic ulcer depth (UUD) between group A (High Voltage Electrical Stimulation) and group B (Honey therapy) post treatment.

Assam is known for its tea and tea industries. Women workers are an asset and backbone of the tea industry, from planting to plucking women are 150% more efficient than the males (Koshy and Tiwari et al, 2011) and despite their contributions women workers in the production of tea have always been relegated to the bottom strata and considered the most abundant and cheapest labour force rather than as a source of specialized labour. Women Workers still earn low wages other unorganized sectors; suffer from low levels of health care and personal well-being. Less importance and recognition is given to the women’s of tea tribe community in spite of their immense contribution towards the tea production. The objective of the study is to understand the struggles of tea community women and their contribution behind “a cup of tea”’.

Lord prof PhD PhD Momtchil Dobrev-Halachev developed 2010 “Financially banking resource-based technological mafia-driven materialism” as a based principle materialismus since more than 17 century.08 “Theory of generating of crises”, 2010 “Theory and praxice of the Mafiotismus ”And 2001“ Theory of the mafia ”. Based on these two theories this paper explains the establishment of mafiotismus all over the world - principles, theory and praxis we prove with the guiding article that these are the ideologies of the Deep Mafia.

Mucormycosis is a very aggressive invasive fungal disease. One of its type is the rhino-maxillary (RMM) type which predominantly involved nose and maxilla. Commonly, this disease occurs in persons with immunosuppression, diabetic ketoacidosis and those on antibiotics, steroid or immunomodulaters which are now commonly used in the Covid 19 treatment. Early diagnosis and prompt treatment can reduce the mortality and morbidity of this fatal fungal infection. In most of the cases more emphasis is given to Computed Tomography (CT) for the diagnosis, while the use of Cone beam computed tomography (CBCT) is one of the most unappreciated imaging method in the early diagnosis of mucormycosis. CBCT is a comparatively recent scanning technology in dentistry, provides images equivalent to medical CT at reduced costs and radiation doses. This article explains the significance, use and the need of CBCT in the early diagnosis of RMM.

Cultural tourism has become the juridical basis of Bali tourism, including giving the spirit of places that become Tourist Attractions (DTW). Tanah Lot Tourism Attraction is one of the tourist sites that prioritizes Hindu religious culture and is managed with the principle of balance as outlined in the Tri Hita Karana concept. Tanah Lot Temple which originally functioned as a holy place for Hindu worshipers, but now its function is increasing as an object of cultural tourism. Traditionally, to enter the Tanah Lot temple, people wear Balinese Hindu prayer clothes, but now wearing recreational clothes, it is not a problem to enter the temple. The tourism culture is expected not to damage the culture of the Beraban Traditional Village which is inspired by Hinduism. Therefore, maintaining the existence of Hinduism means maintaining the sustainability of tourism in the Beraban Traditional Village. By believing in this religious meaning, the cultural changes that have been carried out so far have not deviated from the norms and values of Hindu religious teachings. Although the tourism culture seems very prominent to fill the space in the Beraban Traditional Village, religiosity remains firmly rooted in the life of the Indigenous village which is based on Tri Hita Karana.

In urban and peri-urban areas, wastewater and sewage sludge are used without prior treatment to fertilise vegetable soils. To this end, sewage sludge treated with market garden waste was tested to evaluate the morphological performance and yield of tomatoes. Thus, the composts based on faecal sludge and market garden waste are T0, T1 and T2 (for respectively T0: composted faecal sludge alone, T1: compost with 2/3 faecal sludge and 1/3 market garden waste and T2: compost with ½ sewage sludge and ½ vegetable waste). For this purpose, a market garden bed set-up allowed a comparison of growth and yield parameters with a series of morphology measurements and fruit weighing at harvest. The results obtained over two tomato growing seasons revealed interesting morphological performances and appreciable yields found in the literature. In fact, in the first and second seasons, tomato plants that were fertilized with treatments T0, T1 and T2 showed greater height gain than the other treatments (non-composted sewage sludge (BVNC); chemical fertiliser (EN), no-input plot). Besides, between these compost treatments, T1 gives satisfactory results. With the yields obtained at harvest, the vegetable beds fertilized with T1 show the highest yields (27,718kg/ha) than the other treatments (no-input plot, T0 and T2 for 13076kg/ha; 22847kg/ha; and 24829kg/ha respectively).