Diagnosis of Lingual Atrophic Conditions: Associations with Local and Systemic Factors. A Descriptive Review

Abstract: Atrophic glossitis is a condition characterised by absence of filiform or fungiform papillae on the dorsal surface of the tongue. Consequently, the ordinary texture and appearance of the dorsal tongue, determined by papillary protrusion, turns into a soft and smooth aspect. Throughout the years, many factors, both local and systemic, have been associated with atrophic glossitis as the tongue is currently considered to be a mirror of general health. Moreover, various tongue conditions were wrongly diagnosed as atrophic glossitis. Oral involvement can conceal underlying systemic conditions and, in this perspective, the role of clinicians is fundamental. Early recognition of oral signs and symptoms, through a careful examination of oral anatomical structures, plays a crucial role in providing patients with a better prognosis

PERLINDUNGAN HUKUM TERHADAP PELANGGARAN KERAHASIAAN DATA PRIBADI NASABAH YANG DILAKUKAN OLEH PEGAWAI BANK PADA PT. BANK MANDIRI (PERSERO) TBK. SME REGION 1 SUMATERA 1

Data pribadi nasabah merupakan bagian dari rahasia bank yang harus mendapat perlindungan hukum dan  dijaga dengan baik oleh pihak bank.   Kenyataannya banyak terjadi kasus dimana pihak ketiga dapat memperoleh data pribadi nasabah dengan mudah dari oknum pegawai bank. Hal  ini  akan menimbulkan kerugian tidak hanya bagi nasabah tetapi juga pihak bank yang dalam kedudukannya sebagai lembaga jasa keuangan yang membutuhkan kepercayaan  masyarakat. Pihak   nasabahpun berhak untuk meminta pertanggungjawaban dari pihak bank. Penelitian yang digunakan adalah penelitian normatif empiris. Sedangkan spesifikasi penelitian adalah deskriptif analitis. Data yang digunakan adalah data primer dan data sekunder. Data primer  diperoleh melalui wawancara dengan nasabah dan pimpinan PT Bank Mandiri (Persero) Tbk. SME Region 1 Sumatera 1 dalam bentuk  bebas dan terpimpin.  Sedangkan data sekunder diperoleh dari studi kepustakaan yang terdiri dari bahan hukum primer, bahan hukum sekunder dan bahan hukum tersier. Metode analisis data dilakukan secara kualitatif. Perlindungan hukum terhadap kerahasiaan data nasabah terwujud melalui mekanisme layanan pengaduan nasabah berdasarkan Peraturan Bank Indonesia Nomor 7/7/PBI/2005 tentang Penyelesaian Pengaduan Nasabah sebagaimana telah diubah dengan Peraturan Bank Indonesia Nomor 10/10/PBI/2008 dan Peraturan Otoritas Jasa Keuangan (POJK) Nomor 1/ POJK.07/2013 Tahun 2013 Tentang Perlindungan Konsumen Sektor Jasa Keuangan. Sedangkan tanggung jawab PT. Bank Mandiri (Persero) Tbk. SME Region 1 Sumatera 1 atas pelanggaran kerahasiaan data pribadi nasabah yang dilakukan oleh pegawai bank adalah dapat dilakukan dalam bentuk pertanggungjawaban pidana, perdata, dan administrasi. Untuk itu disarankan agar pihak bank agar lebih memperketat pengawasan dalam menjaga kerahasiaan bank guna meningkatkan kepercayaan masyarakat dalam melakukan transaksi perbankan dan untuk  lebih menjamin kepastian hukum bagi nasabah pemerintah dan DPR perlu secepatnya mengeluarkan Undang-Undang  tentang Perlindungan  Data Pribadi

PERLINDUNGAN HUKUM TERHADAP PELANGGARAN KERAHASIAAN DATA PRIBADI NASABAH YANG DILAKUKAN OLEH PEGAWAI BANK PADA PT. BANK MANDIRI (PERSERO) TBK. SME REGION 1 SUMATERA 1

Data pribadi nasabah merupakan bagian dari rahasia bank yang harus mendapat perlindungan hukum dan  dijaga dengan baik oleh pihak bank.   Kenyataannya banyak terjadi kasus dimana pihak ketiga dapat memperoleh data pribadi nasabah dengan mudah dari oknum pegawai bank. Hal  ini  akan menimbulkan kerugian tidak hanya bagi nasabah tetapi juga pihak bank yang dalam kedudukannya sebagai lembaga jasa keuangan yang membutuhkan kepercayaan  masyarakat. Pihak   nasabahpun berhak untuk meminta pertanggungjawaban dari pihak bank. Penelitian yang digunakan adalah penelitian normatif empiris. Sedangkan spesifikasi penelitian adalah deskriptif analitis. Data yang digunakan adalah data primer dan data sekunder. Data primer  diperoleh melalui wawancara dengan nasabah dan pimpinan PT Bank Mandiri (Persero) Tbk. SME Region 1 Sumatera 1 dalam bentuk  bebas dan terpimpin.  Sedangkan data sekunder diperoleh dari studi kepustakaan yang terdiri dari bahan hukum primer, bahan hukum sekunder dan bahan hukum tersier. Metode analisis data dilakukan secara kualitatif. Perlindungan hukum terhadap kerahasiaan data nasabah terwujud melalui mekanisme layanan pengaduan nasabah berdasarkan Peraturan Bank Indonesia Nomor 7/7/PBI/2005 tentang Penyelesaian Pengaduan Nasabah sebagaimana telah diubah dengan Peraturan Bank Indonesia Nomor 10/10/PBI/2008 dan Peraturan Otoritas Jasa Keuangan (POJK) Nomor 1/ POJK.07/2013 Tahun 2013 Tentang Perlindungan Konsumen Sektor Jasa Keuangan. Sedangkan tanggung jawab PT. Bank Mandiri (Persero) Tbk. SME Region 1 Sumatera 1 atas pelanggaran kerahasiaan data pribadi nasabah yang dilakukan oleh pegawai bank adalah dapat dilakukan dalam bentuk pertanggungjawaban pidana, perdata, dan administrasi. Untuk itu disarankan agar pihak bank agar lebih memperketat pengawasan dalam menjaga kerahasiaan bank guna meningkatkan kepercayaan masyarakat dalam melakukan transaksi perbankan dan untuk  lebih menjamin kepastian hukum bagi nasabah pemerintah dan DPR perlu secepatnya mengeluarkan Undang-Undang  tentang Perlindungan  Data Pribadi

Rhythmic Auditory Stimulation (RAS) and motor rehabilitation in Parkinson’s disease: new frontiers in assessment and intervention protocols

Previous studies have demonstrated that physical therapy accompanied by Rhythmic Auditory Stimulation (RAS) can improve the motor skills of patients with Parkinson’s disease and, in particular, their gait disturbances. In the present work we describe the neurological bases and perceptual-motor deficits generally associated with Parkinson’s dis- ease, with a specific focus on gait disturbances. Within this framework, we review the role of auditory cueing in the modulation of patients’ gait, addressing this issue from the cognitive, neurological and biomechanical perspectives. In particular, we focus on the new frontiers of both assessment and intervention. With regards to the assessment, we describe the advantages of the three-dimensional quantitative multifactorial gait analysis. As concerns the intervention, we illus- trate the potential impact of the administration of ecological footstep sounds as rhythmic cues

The application of digital pulse amplitude tonometry to the diagnostic investigation of endothelial dysfunction in men with erectile dysfunction

The application of digital pulse amplitude by fingertip peripheral arterial tonometry (PAT) device in patients with erectile dysfunction (ED) has never been performed. We investigated the diagnostic value of reactive hyperaemia (RH) and augmentation index (AI) as evaluated using PAT in men with ED of any origin. A total of 40 patients underwent diagnostic investigation for ED, including dynamic penile duplex ultrasound (PDU) and PAT device. Moreover, 30 patients without ED served as controls. According to PDU cutoff at 35 cm/sec, patients were divided into vascular (n = 30) and nonvascular (n = 10) ED aetiology. Moreover, controls with (n = 10) or without (n = 20) vascular risk factors (VRFs) were studied in a separate analysis. Average RH-PAT was not different in men with or without ED (P = 0.56) independently of VRFs. The AI was higher in men with ED compared with the controls (P < 0.0001) as well as when controlled for the presence or absence of VRFs (P < 0.0001). An inverse relationship between AI and PSV was also found (r2 = -0.72, P < 0.0001). In conclusion, an increased AI but not an impaired RH-PAT is present in men with vascular ED independently of VRFs and may represent an early detection of vascular impairment that may precede endothelial dysfunction in populations at low risk for developing vascular ED

Ultrafine particle distribution and chemical composition assessment during military operative trainings

The assessment of airborne particulate matter (PM) and ultrafine particles (UFPs) in battlefield scenarios is a topic of particular concern; (2) Methods: Size distribution, concentration, and chemical composition of UFPs during operative military training activities (target drone launches, ammunition blasting, and inert bomb impact) were investigated using an electric low-pressure impactor (ELPI+) and a scanning electron microscope (SEM), equipped with energy-dispersive spectroscopy (EDS); (3) Results: The median of UFPs, measured for all sampling periods and at variable distance from sources, was between 1.02 × 103 and 3.75 × 103 particles/cm3 for drone launches, between 3.32 × 103 and 15.4 × 103 particles/cm3 for the ammunition blasting and from 7.9 × 103 to 1.3 × 104 particles/cm3 for inert launches. Maximum peak concentrations, during emitting sources starting, were 75.5 × 106 and 17.9 × 106 particles/cm3, respectively. Particles from the drone launches were predominantly composed of silicon (Si), iron (Fe) and calcium (Ca), and those from the blasting campaigns by magnesium (Mg), sulphur (S), aluminum (Al), iron (Fe), barium (Ba) and silicon (Si); (4) Conclusions: The investigated sources produced UFPs with median values lower than other anthropogenic sources, and with a similar chemical compositio

Oral Signs and HLA-DQB1 1702 Haplotypes in the Celiac Paediatric Patient: A Preliminary Study.

Celiac disease (CD) diagnosis can be extremely challenging in the case of atypical patterns. In this context, oral signs seem to play a decisive role in arousing suspicion of these forms of the disease. At the same time, the different expressions of the HLA-DQB1 1702 allele apparently seem to facilitate the interpretation of signs and highlighted symptoms. The aim of this work was to verify whether it is possible to identify a correlation between the development of oral signs and different DQ2 haplotypes in celiac pediatric patients. 44 celiac patients with a medium age of 9.9 were studied. Oral examinations were performed in order to identify recurrent aphthous stomatitis (RAS) and dental enamel defects (DED). The diagnosis of DED resulted as being related to allele expression (P value = 0.042) while it was impossible to find a similar correlation with RAS. When both oral signs were considered, there was an increase in correlation with HLA-DQB1 1702 expression (P value = 0.018). The obtained results identified both the fundamental role that dentists can play in early diagnosis of CD, as well as the possible role of HLA haplotype analysis in arousing suspicion of atypical forms of the disease

Effects of physical rehabilitation integrated with rhythmic auditory stimulation on spatio-temporal and kinematic parameters of gait in parkinsons's disease

Movement rehabilitation by means of physical therapy represents an essential tool in the management of gait disturbances induced by Parkinson’s disease (PD). In this context, the use of Rhythmic Auditory Stimulation (RAS) has been proven useful in improving several spatio-temporal parameters, but concerning its effect on gait patterns scarce information is available from a kinematic viewpoint. In this study we used three-dimensional gait analysis based on optoelectronic stereophotogrammetry to investigate the effects of 5 weeks of intensive rehabilitation, which included gait training integrated with RAS on 26 individuals affected by PD (age 70.4±11.1, Hoehn & Yahr 1-3). Gait kinematics was assessed before and at the end of the rehabilitation period and after a three-month follow-up, using concise measures (Gait Profile Score and Gait Variable Score, GPS and GVS, respectively), which are able to describe the deviation from a physiologic gait pattern. The results confirm the effectiveness of gait training assisted by RAS in increasing speed and stride length, in regularizing cadence and correctly reweighting swing/stance phase duration. Moreover, an overall improvement of gait quality was observed, as demonstrated by the significant reduction of the GPS value, which was created mainly through significant decreases in the GVS score associated with the hip flexion-extension movement. Future research should focus on investigating kinematic details to better understand the mechanisms underlying gait disturbances in people with PD and the effects of RAS, with the aim of finding new or improving current rehabilitative treatments

LESSON LEARNED ON MONITORING CULTURAL HERITAGE AT RISK UNDER CLIMATE CHANGES: STRATEGY, TECHNIQUES AND RESULTS

Rising damp is a recurrent cause of damage, and the climatic changes are going towards the increase of humidity (quantity and spreading distribution) in the historic masonry: at 40/50° latitudes, at continental/Mediterranean climatic conditions, the alternance of dry seasons and almost monsoon seasons dramatically affects the distribution of rising damp in porous materials, as well as the water content. Monitoring the presence and distribution of the water is useful to support the choice of the most appropriate intervention, reducing the risk to apply not effective and expensive products and preventing an oversize intervention.The evaluation of the increase of rising damp is a critical issue for preventing the damages, because the presence of the water can sharply, naturally decrease in the dry seasons, as well as rapidly increases one month or more after the beginning of heavy and constant rain.The study cases will show the interaction between climate changes and the inadequacy of the present plant for collecting and drain rain in archaeological areas and historic buildings and as well as the nearby infrastructures that should prevent stagnant rain close to the bottom of the masonry.</p