Geometric Morphometric Analysis Of Dental Cast And Cephalometrics Of Malays Cleft Lip And Palate.

Rekahan bibir dan lelangit (RBL) atau sumbing adalah kecacatan muka kongenital yang paling lazim ditemui. Pesakit yang menderita keadaan ini mempunyai masalah makan, jangkitan telinga tengah dan juga masalah psikologi. Cleft lip and palate (CLP) is the most common congenital oro-facial deformity. Patients with CLP may have difficulty in feeding, middle ear infection as well as psychological problems

Arterial and venous adaptations to short-term handgrip exercise training

Four studies on vascular and exercise physiology are presented in this document. The 1st study examined the relationships between measures of fitness and FVF in 55 young [22.6 ± 3.5 years] adults. Estimated VO2peak correlated with arterial inflow (Ainf) [r=0.54; p=0.012] and resting venous outflow (Vout) [r=0.56; p=0.016]. Lastly, HG strength was associated with Vcap [r=0.57; p=0.007] and Vout [r=0.67; p=0.001]. The 2nd study examined the relationship between FVF and exercise tolerance (ExT) in 20 patients with HF [age: 59 ± 13 years] and 10 age-matched controls [age: 51 ± 16 years. The ExT was measured as the maximum walking distance (MWD) in 6 minutes. FVF [Ainf: HF 15.3 ± 6; controls 22 ± 6.7; Vcap: HF 1.4 ± 0.5; controls 2.0 ± 0.4; Vout: HF 24.5 ± 9.4; controls 33 ± 10 mL · 100 mL tissue-1 · min-1; and forearm vascular resistance: HF 7.8 ± 3; controls 4.6 ± 1.4U] indices and MWD [HF: 178 ± 65 m; controls: 562 ± 136m, P = .0001] were different between groups. Correlation analysis revealed significant associations between FVF indices and MWD. The 3rd study examined the effect of 25% (LO) and 75% (HI) of MVC short-term HG exercise training on FVF in 28 healthy men [Age:23±4.3]. The 4-week program consisted of non-dominant HG exercise performed 5 d/wk for 20-min. Training resulted in increased Ainf in the non-dominant arm in the LO and HI groups by 16.51% and 20.72%, respectively. The final study examined the time-course FVF adaptations to HG exercise training in 17 men [Age: 22.6 ± 3.5]. The HG exercise was performed in the non-dominant arm 5 d/wk for 20-min at 60% of MVC. The 2 X 5 ANOVA revealed arms X visits interaction for Ainf [p=0.02], while the LSD post-hoc demonstrated unilateral increase in Ainf following the 1st week. Additional 2 X 5 split-plot ANOVA tests revealed arms X visits interaction [p=0.04] for venous compliance (Vcomp) with LSD post-hoc demonstrating a decrease in trained arm Vcomp in visit 2 followed by an increase in visit 4 and return to baseline level at visit 5

Jurisdiction of the King in Royal Regulations: A comparative Study

This research deals with a very significant topic related to constitutional law, in order to identify the total jurisdictions of the King in the constitutions of four countries with royal political systems: Jordan, Spain, Japan and Norway, and to investigate the comparison between these constitutions, The purpose of this research is to identify the terms of reference of the King approved by the comparative constitutions, in addition, to clarify how the king deposed the judges in the constitutions comparison, and then the statement of the King's authority to issue amnesty and reduction in the comparative constitutions,The importance of this research in contemporary time lies on the existence of the text of the separation of powers in the constitutions, which most of the constitutions seek to dedicate and work through.To achieve this, the study relied on the descriptive analysis method and the comparative approach. This research was divided into two sections, The first section dealt with the King and the independence of the judiciary under the principle of separation of powers. The second section is about the relationship of the King to the judicial authority in the mentioned countries.The study showed that the King's jurisdictions in the compared constitutions focus on the appointment and dismissal of judges, the issuance of amnesties and the reduction of sentences, and there are some differences in the jurisdictions of the King among the constitutions of the four countries. In light of this, the study suggested a number of recommendations that contribute to the development of comparative country constitutions to be more in harmony with each other with regard to the jurisdiction of the King. Keywords: constitutional law, separation of powers, jurisdiction, Royal political systems

Stepwise Relationship of Exercise Frequency with Serum BDNF Level among Adolescents

Introduction: Regular participation in exercise in adolescents is associated with numerous health benefits, including improved CV, metabolic, muscular, respiratory, immune, cognitive, and neurohormonal functions. Brain-derived neutrophic factor (BDNF) is essential for several body functions, particularly the neural and cognitive functions. However, the dose-effect of exercise participation on BDNF is not fully understood among adolescents. The current study examined the relationship of serum BDNF level with moderate/vigorous exercise frequency in 703 adolescents aged 13-17 years old. Methodology: ELISA was used to evaluate serum BDNF. Additionally, the SALSA questionnaire was used to obtain the weekly frequency of moderate/vigorous exercise. Results: The ANOVA revealed differences (p=0.001) in BDNF level according to running frequency. Subsequent posthoc analysis showed that BDNF was greater (p0.05) were found in BDNF between exercising three, four, five, six, and seven days/week. Conclusions: The current data revealed stepwise differences in BDNF between running frequencies, peaking at five days/week. These differences in BDNF seems to plateau when participating more than three days/week. The results confirm the importance of exercise for brain health and are consistent with the current recommendations for moderate/vigorous exercise frequenc

The Clinical and Nonclinical Values of Nonexercise Estimation of Cardiovascular Endurance in Young Asymptomatic Individuals

Exercise testing is associated with barriers prevent using cardiovascular (CV) endurance (CVE) measure frequently. A recent nonexercise model (NM) is alleged to estimate CVE without exercise. This study examined CVE relationships, using the NM model, with measures of obesity, physical fitness (PF), blood glucose and lipid, and circulation in 188 asymptomatic young (18–40 years) adults. Estimated CVE correlated favorably with measures of PF (r = 0.4 − 0.5) including handgrip strength, distance in 6 munities walking test, and shoulder press, and leg extension strengths, obesity (r = 0.2 − 0.7) including % body fat, body water content, fat mass, muscle mass, BMI, waist and hip circumferences and waist/hip ratio, and circulation (r = 0.2 − 0.3) including blood pressures, blood flow, vascular resistance, and blood (r = 0.2 − 0.5) profile including glucose, total cholesterol, LDL-C, HDL-C, and triglycerides. Additionally, differences (P < 0.05) in examined measures were found between the high, average, and low estimated CVE groups. Obviously the majority of these measures are CV disease risk factors and metabolic syndrome components. These results enhance the NM scientific value, and thus, can be further used in clinical and nonclinical settings

Vascular Function and Handgrip Strength in Rheumatoid Arthritis Patients

Objective. To examine the relationship of handgrip strength with forearm blood flow (BF) and vascular resistance (VR) in rheumatoid arthritis (RA) patients. Methods. Forearm BF at rest (RBF) and after upper arm occlusion (RHBF), and handgrip strength were examined in 78 individuals (RA = 42 and controls (CT) = 36). Subsequently, VR at rest (RVR) and after occlusion (RHVR) were calculated. Results. The patients' RBF (P = 0.02) and RHBF (P = 0.0001) were less, whereas RVR (P = 0.002) and RHVR (P = 0.0001) were greater as compared to the CTs. Similarly, handgrip strength was lower in the RAs (P = 0.0001). Finally, handgrip strength was directly associated with RBF (r = 0.43; P = 0.0001), and RHBF (r = 0.5; P = 0.0001), and inversely related to RVR (r = −0.3; P = 0.009) and RHVR (r = −0.3; P = 0.007). Conclusion. The present study uniquely identifies an association between regional measures of forearm blood flow and handgrip strength in patients and healthy control. In addition, this study confirms the presence of vascular and muscle dysfunction in patients with rheumatoid arthritis, as evidenced by lower forearm blood flow indices, at rest and following occlusion, and lower handgrip strength as compared to healthy individuals

Tourism Sector Development in Jordan: Elements, Challenges and Requirements.

Tourism planning in Jordan is one of the main sources of income for the Jordanian state and one of the most important tools for tourism development at present, especially with the absence of safe tourism in the Arab region through the many wars and the current security events in the region. The area aims at increasing real and national income in these dire circumstances of economic downturn and slow development, which in the opinion of the Jordanian politicians requires an exit strategy. Thus the development of civilization which is inclusive of all the natural elements, human and material attractions in the country, especially in the city of Aqaba, should be attracting tourists. Hence, tourism planning in Jordan is a necessity for sustainable development which enables developing countries, especially those like Jordan, to face competition from international tourism markets. Therefore, the planning of tourism development is an integral part of the economic and social development plan of the state, which requires the obligation of all ministries, regions, agencies and governmental and non-governmental departments to implement the tourism development policy as a joint work program of all stakeholders such as the government and private sector. Based on the findings of the research, the researchers discuss the most important ideas addressed that may serve the problematic tourism issues in Jordan

Regional changes in reactive hyperemic blood flow during exercise training: time-course adaptations

BACKGROUND: Few studies have examined the time-course of localized exercise training on regional blood flow in humans. The study examined the influence of handgrip exercise training on forearm reactive hyperemic blood flow and vascular resistance in apparently healthy men. METHODS: Forearm blood flow and vascular resistance were evaluated, in 17 individuals [Age: 22.6 ± 3.5], in both arms, at rest and following 5 minutes of arterial occlusion, using strain gauge plethysmography, prior to training (V1) and every week thereafter (V2-5) for 4 weeks. Handgrip exercise was performed in the non-dominant arm 5 d/wk for 20 minutes at 60% of maximum voluntary contraction, while the dominant arm served as control. RESULTS: Resting HR, BP, and forearm blood flow and vascular resistance were not altered with training. The trained arm handgrip strength and circumference increased by 14.5% (p = 0.014) and 1.56% (p = 0.03), respectively. ANOVA tests revealed an arms by visit interaction for the trained arm for reactive hyperemic blood flow (p = 0.02) and vascular resistance (p = 0.009). Post-hoc comparison demonstrated increased reactive hyperemic blood flow (p = 0.0013), and decreased post-occlusion vascular resistance (p = 0.05), following the 1(st )week of training, with no significant changes in subsequent visits. CONCLUSION: The results indicate unilateral improvements in forearm reactive hyperemic blood flow and vascular resistance following 1 week of handgrip exercise training and leveled off for the rest of the study

The Burden of Mental Disorders in the Eastern Mediterranean Region, 1990-2013

Charara R, Forouzanfar M, Naghavi M, et al. The Burden of Mental Disorders in the Eastern Mediterranean Region, 1990-2013. PLOS ONE. 2017;12(1): e0169575.The Eastern Mediterranean Region (EMR) is witnessing an increase in chronic disorders, including mental illness. With ongoing unrest, this is expected to rise. This is the first study to quantify the burden of mental disorders in the EMR. We used data from the Global Burden of Disease study (GBD) 2013. DALYs (disability-adjusted life years) allow assessment of both premature mortality (years of life lost-YLLs) and nonfatal outcomes (years lived with disability-YLDs). DALYs are computed by adding YLLs and YLDs for each age-sex-country group. In 2013, mental disorders contributed to 5.6% of the total disease burden in the EMR (1894 DALYS/100,000 population): 2519 DALYS/100,000 (2590/100,000 males, 2426/100,000 females) in high-income countries, 1884 DALYS/100,000 (1618/100,000 males, 2157/100,000 females) in middle-income countries, 1607 DALYS/100,000 (1500/100,000 males, 1717/100,000 females) in low-income countries. Females had a greater proportion of burden due to mental disorders than did males of equivalent ages, except for those under 15 years of age. The highest proportion of DALYs occurred in the 25-49 age group, with a peak in the 35-39 years age group (5344 DALYs/100,000). The burden of mental disorders in EMR increased from 1726 DALYs/100,000 in 1990 to 1912 DALYs/100,000 in 2013 (10.8% increase). Within the mental disorders group in EMR, depressive disorders accounted for most DALYs, followed by anxiety disorders. Among EMR countries, Palestine had the largest burden of mental disorders. Nearly all EMR countries had a higher mental disorder burden compared to the global level. Our findings call for EMR ministries of health to increase provision of mental health services and to address the stigma of mental illness. Moreover, our results showing the accelerating burden of mental health are alarming as the region is seeing an increased level of instability. Indeed, mental health problems, if not properly addressed, will lead to an increased burden of diseases in the region

Burden of musculoskeletal disorders in the Eastern Mediterranean Region, 1990–2013: findings from the Global Burden of Disease Study 2013

Moradi-Lakeh M, Forouzanfar MH, Vollset SE, et al. Burden of musculoskeletal disorders in the Eastern Mediterranean Region, 1990–2013: findings from the Global Burden of Disease Study 2013. Annals of the Rheumatic Diseases. 2017;76(8):annrheumdis-2016-210146