Masalah yang Dihadapi Siswa Sekolah Dasar Negeri 005 Desa Baru Kecamatan Siak Hulu Kabupatenkampar

The study is aimed at 1) finding out the description of students\u27 personal problems including both male and female. 2) finding out the description of students\u27 emotional problems including both male and female 3) finding out the description of students\u27 learning problems including both male and female. 4) finding out the description of students\u27 familial problems including both male and female. 5) finding out the description of students\u27 social problems including both male and female. 6) finding out the description of overall students\u27 problems. 7) finding out the category of students\u27 problems in general. The data dealing with student problem preferences based on personal, emotional, learning, familial, and social aspects were collected by using questionnaire. The subjects of the research are 200 students of State Elementary School 005 Baru Village, Siak Hulu Sub district whose choise were based on sex. The sampling technique is the total one. The research results showed that: 1) 60 moderate category male students (59%) and 55 moderate category female students (56%) experienced personal problems. 2) 97 moderate category male students (96%) and 91 moderate category female students (92%) experienced emotional problems. 3) 69 moderate category male students (68%) and 71 moderate category female students (72%) experienced learning problems. 4) 70 moderate category male students (69%) and 69 moderate category female students (70%) experienced familial problems. 5) 53 moderate category male students (52%) and 50 moderate category female students (51%) experienced social problems. 6) 97% male students and 91% female students experienced emotional problems, 70% male and 69% female students experienced familial problems, and 69% and 71% male and female students experienced learning problems. 7) In general, the problems experienced by male students and female students are emotional, familial and social in moderate category

Evaluation of earth fault location algorithm in medium voltage distribution network with correction technique

This paper focused on studying an algorithm of earth fault location in the medium voltage distribution network. In power system network, most of the earth fault occurs is a single line to ground fault. A medium voltage distribution network with resistance earthing at the main substation and an earth fault attached along the distribution network is modeled in ATP Draw. The generated earth fault is simulated, and the voltage and current signal produced is recorded. The earth fault location algorithm is simulated and tested in MATLAB. The accuracy of the earth fault location algorithm is tested at several locations and fault resistances. A possible correction technique is explained to minimize the error. The results show an improvement fault location distance estimation with minimum error

Immunomodulation and Generation of Tolerogenic Dendritic Cells by Probiotic Bacteria in Patients with Inflammatory Bowel Disease

In inflammatory bowel diseases (IBD), the therapeutic benefit and mucosal healing from specific probiotics may relate to the modulation of dendritic cells (DCs). Herein, we assessed the immunomodulatory effects of four probiotic strains including Lactobacillus salivarius, Bifidobacterium bifidum, Bacillus coagulans and Bacillus subtilis natto on the expression of co-stimulatory molecules, cytokine production and gene expression of signal-transducing receptors in DCs from IBD patients. Human monocyte-derived DCs from IBD patients and healthy controls were exposed to four probiotic strains. The expression of co-stimulatory molecules was assessed and supernatants were analyzed for anti-inflammatory cytokines. The gene expression of toll-like receptors (TLRs), IL-12p40 and integrin \u3b1v\u3b28 were also analyzed. CD80 and CD86 were induced by most probiotic strains in ulcerative colitis (UC) patients whereas only B. bifidum induced CD80 and CD86 expression in Crohn's disease (CD) patients. IL-10 and TGF-\u3b2 production was increased in a dose-independent manner while TLR expression was decreased by all probiotic bacteria except B. bifidum in DCs from UC patients. TLR-4 and TLR-9 expression was significantly downregulated while integrin f8 was significantly increased in the DCs from CD patients. IL-12p40 expression was only significantly downregulated in DCs from CD patients. Our findings point to the general beneficial effects of probiotics in DC immunomodulation and indicate that probiotic bacteria favorably modulate the expression of co-stimulatory molecules, proinflammatory cytokines and TLRs in DCs from IBD patients

Dengue-induced autophagy, virus replication and protection from cell death require ER stress (PERK) pathway activation

Avirus that reproduces in a host without killing cells can easily establish a successful infection. Previously, we showed that dengue-2, a virus that threatens 40% of the world, induces autophagy, enabling dengue to reproduce in cells without triggering cell death. Autophagy further protects the virus-laden cells from further insults. In this study, we evaluate how it does so; we show that dengue upregulates host pathways that increase autophagy, namely endoplasmic reticulum (ER) stress and ataxia telangiectasiamutated (ATM) signaling followed by production of reactive oxygen species (ROS). Inhibition of ER stress or ATM signaling abrogates the dengueconferred protection against other cell stressors. Direct inhibition of ER stress response in infected cells decreases autophagosome turnover, reduces ROS production and limits reproduction of dengue virus. Blocking ATM activation, which is an early response to infection, decreases transcription of ER stress response proteins, but ATM has limited impact on production of ROS and virus titers. Production of ROS determines only late-onset autophagy in infected cells and is not necessary for dengue-induced protection from stressors. Collectively, these results demonstrate that among the multiple autophagy-inducing pathways during infection, ER stress signaling is more important to viral replication and protection of cells than either ATM or ROS-mediated signaling. To limit virus production and survival of dengue-infected cells, one must address the earliest phase of autophagy, induced by ER stress

COVID-19-related strokes in adults below 55Â years of age: a case series

Background: Coronavirus infection is a novel respiratory disease affecting people across the world. Although the majority of patients present with fever, dyspnea, cough, or myalgia, various signs and symptoms have been reported for this disease. Recently, neurological symptoms have been noticed in patients with COVID-19 with unknown etiology. However, the occurrence of strokes in young and middle aged patients with COVID-19 is not fully explained. Methods: In this series, six patients younger than 55 years of age with diagnosis of stroke and a confirmed diagnosis of COVID-19 were evaluated for symptoms, lab data, imaging findings, and outcomes from March 2020 to the end of April 2020 from all stroke cases in a tertiary academic hospital. Patients older than 55 and all others who had evidence of cardiac abnormalities (arrhythmia/valvular) were excluded. Results: Fever, myalgia, cough, and dyspnea were the most common clinical symptoms noted in 66.66 (4/6), 66.66 (4/6), 50 (3/6), and 50 (3/6) of the patients, respectively. The mean ± standard deviation (SD) of National Institutes of Health Stroke Scale (NIHSS) for the patient was 10.16 ± 7.13 (ranged 5�24). The most involved area was middle cerebral artery (MCA) (five in MCA versus one in basal ganglia) and the majority of our patients had a low lung involvement score (mean ± SD: 13.16 ± 6.49 out of 24). Finally, one patient was deceased and rest discharged. Conclusion: Stroke may be unrelated to age and the extent of lung involvement. However, different factors may play roles in co-occurrence of stroke and COVID-19 and its outcome. Future studies with long-term follow-up and more cases are needed to assess prognostic factors. © 2020, Fondazione Società Italiana di Neurologia

Insulin and insulin receptor gene polymorphisms and susceptibility to nonalcoholic fatty liver disease Insulina e polimorfismos do gene do receptor de insulina e a suscetibilidade à doença hepática gordurosa não alcoólica

Background � Nonalcoholic fatty liver disease (NAFLD) is an increasing global health concern defined by excessive hepatic fat content in the absence of excessive alcohol consumption. Objective � Given the pivotal role of insulin resistance in NAFLD, we hypothesized that insulin (INS) and insulin receptor (INSR) gene polymorphisms may be associated with NAFLD risk. Methods � A total of 312 subjects, including 153 cases with biopsy-proven NAFLD and 159 controls were enrolled in this case-control study. Four polymorphisms in INS (rs3842752, rs689) and INSR (rs1052371, rs1799817) genes were genotyped using PCR-RFLP method. Results � The cases with NAFLD were older and had higher BMI, systolic blood pressure, diastolic blood pressure, as well as higher serum levels of aspartate aminotransferase, alanine aminotransferase, and gamma glutamyl transferase than the controls (P<0.001). The �TT� genotype of INSR rs1799817 compared with �CC� genotype occurred more frequently in the controls than the cases with NAFLD and the difference remained significant after adjustment for confounding factors (P=0.018; OR=0.10, 95CI=0.02�0.76). However, no significant difference was found for INS rs3842752, INS rs689, and INSR rs1052371 gene polymorphisms between the cases with NAFLD and the controls either before or after adjustment for the confounders. Conclusion � These findings corroborate the hypothesis that genetic polymorphisms related to insulin resistance play a role in NAFLD susceptibility. Specifically, the INSR rs1799817 �TT� genotype had a protective effect for NAFLD. However, our results remain to be validated in other studies. © 2020, IBEPEGE - Inst. Bras. Estudos Pesquisas Gastroent. All rights reserved

Liver, spleen, pancreas and kidney involvement by human fascioliasis: imaging findings

BACKGROUND: Fasciola hepatica primarily involves the liver, however in some exceptional situations other organs have been reported to be involved. The ectopic involvement is either a result of Parasite migration or perhaps eosinophilic reaction. CASE PRESENTATION: Here we report a known case of multiple myeloma who was under treatment with prednisolone and melphalan. He was infected by Fasciola hepatica, which involved many organs and the lesions were mistaken with metastatic ones. DISCUSSION: Presented here is a very unusual case of the disease, likely the first case involving the pancreas, spleen, and kidney, as well as the liver

Cholangiocarcinoma in Magnetic Resonance Cholangiopancreatography and Fascioliasis in Endoscopic Ultrasonography

Fascioliasis is a worldwide zoonotic infection with Fasciola hepatica and Fasciola gigantica. The zoonoses are particularly endemic in sheep-raising countries and are also endemic in Iran. Typical symptoms that may be associated with fascioliasis can be divided by phases of the disease, including the acute or liver phase, the chronic or biliary phase, and ectopic or pharyngeal fascioliasis. Cholestatic symptoms may be absent, and in some cases diagnosis and treatment may be preceded by a long period of abdominal pain, eosinophilia and vague gastrointestinal symptoms. We report a case with epigastric and upper quadrant abdominal pain for the last 4 years, with imaging suggesting cholangiocarcinoma. Considering a new concept of endoscopic ultrasonography, at last F. hepatica was extracted with endoscopic retrograde cholangiography