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Preliminary studies have been carried out by conducting observations and direct interviews with people who live close the Cipayung landfill erectile dysfunction drug mechanism 160mg super p-force oral jelly. It is found that 15 people who have lived more than 15 years mentioned having experienced respiratory complaints such as coughing erectile dysfunction bipolar medication cheap super p-force oral jelly 160 mg, chest pain erectile dysfunction treatment medscape best super p-force oral jelly 160 mg, and most often is a sore throat due to the stench erectile dysfunction doctors in ct buy super p-force oral jelly 160mg. Based on observations obtained smells like rotten eggs smelled quite strong even from a distance of 1 km and smelled stronger when the wind blew. Despite of the harmful effects caused by landfill there are not previous research on health and environmental impacts on the residents living closer to Cipayung landfil. Therefore this research was conducted to be able to find out the health risks, respiratory problems and odor problems in people who live close the Cipayung landfill. Materials and Method Data sources and Study Population: this study uses primary data derived from data collected using questionnaire and measurement of ambient H2S around Cipayung landfill. The population in this study were all residents of hamlet 07, Cipayung Urban Village, which is the closest settlement to the landfill. The inclusion criteria determined are people aged 18 years based on anthropometric uniformity. Measurements: Measurements were made using a questionnaire divided into 3 parts, consisting of the characteristics of respondents (age, sex, length of stay, and distance of the house from the landfill as measured by researchers using the Google Maps), malodor perceptions, and respiratory problems. And measurement for level ambient of H2S using a spectrophotometer with the methylene blue method. Risk level of H2S exposured obtained by calculations using the Louvard formula from the measurement results of ambient H2S concentration. Results and Discussions General Characteristic of People Living Close Landfill: Table 1 shows that there were more female than male respondents in this study. In terms of age group the 18-45 years old range was the highest represented with 68%. Most of the respondents live with a distance of <300 meters from the landfill which is 76%. The existence of a landfill in an area can have an impact on the peoples who live around it9. Therefore the distance between the landfill site and the nearest residential area is a crucial thing. The majority of respondents in the study were respondents whose home distance from the landfill was less than 300 meters with the nearest distance of only 120 meters. This distance is not by the recommended distance between the landfill site and the residential area. Some recommendation about the distances; 1) Regulation of the Minister of Public 1050Indian Journal of Public Health Research & Development, March 2020, Vol. The recommended distance is a consideration for the exposure of the community to pollution caused by the landfill (leachate pollution, air pollution, odor, disease vector spread). In line with the results from the study by Njoku showed that seventy eight percent of participants lived closer to the landfill site (100-500 meters) indicated serious contamination of air quality evident from bad odors linked to the landfill site14. Furthermore the results of a study conducted by Singga on scavengers at the Kupang Alak landfill found an association between the distance of the residence of the scavengers and health problems experienced by scavengers15. General Characteristic of Respondents Number Gender Male Female Total Age 18-45 years > 45 years Total 9-20 years > 20 years Total Distances from landfill < 300 meters 300 meters Total 76 24 100 76 24 100 120-600 meters 275. The H2S concentration exceeds the normal H2S concentration that comes from natural sources that is 0. Perception of malodor (smells like rotten eggs) coming from the landfill Yes N the smell disturbs daily activities the smell has an unhealthy effect 70 75 % 70 75 N 30 25 No % 30 25 n 100 100 Total % 100 100 Indian Journal of Public Health Research & Development, March 2020, Vol. The risk of health problems appears more quickly in the results of a study by Rifai et al. Malodor Perceptions of People Living Close Cipayung Landfill: In this research, shows that most respondents perceived that the smell like rotten eggs disrupts daily activities which are about 70%. And then complained that the smell like rotten eggs caused an unhealthy effect that is equal to 75% (Table 2). Cipayung landfill which has established for more than 35 years still operates with an open dumping system. Open dumping systems that are used can have bad impacts on both the environment and human health, including causing air contamination and odor pollutions18. This is worsened by the situation where the landfill waste heap passed the maximum capacity, which reached 30 meters from the ground. Based on the results of this study it was found that all respondents (100%) claimed to have smelled like rotten eggs originating from landfill, consider the odor to disturb with their daily activities are 70% and consider the odor to have an unhealthy effect on them by 75%.

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On correlation with lymph node to c-erbB-2 over expression erectile dysfunction doctor karachi generic 160mg super p-force oral jelly, out of 80 tumors with c-erbB-2 positive erectile dysfunction protocol book scam purchase super p-force oral jelly 160mg, 52 (65 erectile dysfunction caused by hemorrhoids quality 160 mg super p-force oral jelly. There is statistical significant correlation between grade of tumor and c-erbB-2 over expression (p<0 erectile dysfunction treatment options natural purchase 160 mg super p-force oral jelly. In 80 cases of c-erbB-2 positive tumors(Table 2), 24 cases were p53 positive while in 120 cases of c-erbB-2 negative tumors only 7% cases were p53 positive while rests were negative. Elledge et al (1988)6 observed that risk of cancer recurrence and death increased up to 50% or more if p53 mutated. Meenakshi et al (1999)7 showed that p53 positive tumors are more aggressive and associated with poor prognosis. Meng et al (1999)11 reported p53 mutation rate of 25-60% depending upon stage of disease and method of detection. Yokata T et al (1999)12 showed that p53 mutation is associated with lymphatic invasion. Shrinivas P et al (2002)13 found that p53 mutation is potential predictor of lymph node involvement. Iacopetta B et al (2000)15 reported p53 mutation rate of 17% in case of invasive ductal carcinoma. Overgaard J et al (2000)16 reported that p53 mutation is strong marker for prediction and disease free survival irrespective of nodal status and mutation is more frequent in ductal carcinoma, large size tumour, node positive and high grade tumour with detection rate of 23%. In our study p53 mutation rate was found in 16% cases which are slightly more than p53 mutation reported by Khaliq T et al14 from Pakistani population. All 32 cases of p53 positive tumor had lymph node metastasis while tumour without lymph node metastasis did not show any p53 mutation. Thus p53 mutation is significantly correlated with lymph node metastasis in our study similar to other studies. There was no correlation found between p53 mutation and grade of tumour, tumour size and T-status similar to study by Shpitz B et al (2000). There is significant correlation between c-erbB-2 over expression and lymphatic invasion on histology. On correlating c-erbB-2 and p53, c-erbB-2 over expressed in 80 cases (40%) out of them 24 cases (30%) was p53 positive whereas 56 cases (70%) were p53 negative. There is no significant correlation found between p53 mutation and c-erbB-2 over expression. Sirvidis E, Sims B, Nucleolar organizer regions; New Prognostic Variable in Breast Carcinoma. Correlation of cell cycle regulators (p53, p21, prb and mdm2) and c-erbB-2 with biological markers of proliferation and overall survival in breast cancer. The prognostic value of p53 and c-erbB-2 expression, prolferative activity and angiogenesis in nodenegative breast carcinoma. Pathologic findings from the Nations Surgical Adjuvant Breast and Bowel Project: Prognostic significance of erbB2 protein overexpression in primary breast cancer. Yokota T, Imamura J, Teshima S, Suzuki H, Tezuka F, Kikuchi S, Kunii Y, Yamauchi H. C-erb B2 P53 protein expression and steroid hormone receptors in breast carcinoma: an immunohistochemical study. Shrinivas P, Madhawan M, Ahmad I, Abraham E, Balram P, Nm 23H1 and p53 proteins are differentially correlated with metastasis in breast carcinoma. Iacopetta B, Elsaleh H, Grieu F, et al Routine analysis for p53 mutation in clinical breast tumor specimens using Fluorescence based polymerase chain reaction and single strand conformation polymorphism. Tumour P53 mutation is a independent prognostic marker for poor outcome in both node negative and node positive breast cancer. Angiogenesis, p53 and C-erbB-2immuno reactivity and cliniopathological features in Male breast cancer. The relationship between c-erbB-2 expression and s-phase fraction in prognosis of breast cancer. Expression of growth factor and chemokine receptors: new insights in the biology of inflammatory breast cancer. Clinical Psychology, Indira Gandhi National Open University, Maidan Garhi, New Delhi, India, 2 Academic Counsellor, Indira Gandhi National Open University, Maidan Garhi, New Delhi Abstract Background: Internet use has become an indispensable part of our lives.

Element for enhancing overall community health has not yet been implemented by school optimally and sustainably erectile dysfunction treatment diet purchase super p-force oral jelly 160mg. Actually erectile dysfunction treatment options uk effective super p-force oral jelly 160mg, school can involve Coaching Team in Subdistrict level to enhance public health around school erectile dysfunction bathroom generic 160mg super p-force oral jelly. The results show that engagement of across programs doctor for erectile dysfunction trusted super p-force oral jelly 160mg, across sectors and across private companies is still limited to competition purposes, completing accreditation documents and supporting fulfillment of certain institution target, such as sponsorship of private companies. The results showed that School Master has been requested to organize cooperation with stakeholders actively. This authority can be used for coordinating across sector efforts in implementing school health program. Other efforts are focusing of public health problems in each area, and involving of parent and community participation. School has to participate in planning and implementing public health efforts surrounding, although not many and not yet sustainable. Conclusion Acknowledgements: Thank you for all informants Ethical Clearance: Ethical Committee of Faculty of Public Health, Universitas Airlangga Source of Funding: Ministry of Higher Education, Research and Technology, Indonesia. Development of a collaborative model to improve school health promotion in the Netherlands. A comprehensive "healthy schools programme" to promote school health: the Hong Kong experience in joining the efforts of health and education sectors. Intersectoral Collaboration for the Development of a National Framework for Health Promoting Schools in Australia. Primary Health Care: Report of the International Conference on Primary Health Care, Alma-Ata. Health-promoting schools: Evidence for a holistic approach to promoting health and improving health literacy. The impact of school-based health centers on the health outcomes of middle school and high school students. The general objective of this research is to know the context and input in the implementation of national health insurance in Ternate City. The informants in this study were the head of the Indonesian national health care insurance, the Head of the Health Service, the Head of Planning and Data, the Head of Health Financing, the Head of the Health Center, the Head of the Unit, the Director of the Dharma Ibu Hospital. Health insurance program policies in Ternate City are based on regulations issued by the Indonesian national health care insurance and Ternate Mayor Regulations. Infrastructure facilities available at the health center and hospitals have fulfilled. Keywords: Health insurance, context, input, evaluation Introductions the implementation of national health insurance in several regions in Indonesia experienced differences in terms of expected outcomes. The recruitment of participants in business entities, especially the micro, small and medium segments, has also not been reported yet. In addition, the distribution of participants, especially in first-level health facilities, was also judged to be uneven. Another problem that also needs attention is the availability of benefit packages and the readiness of a fair and equitable supply for every level of society. The stipulation and standardization of care classes were also stated to still need improvement. The implementation of national insurance in Indonesia is a very serious challenge due to its large population, uneven population distribution, and diverse geographical conditions. In remote areas often do not get the same and adequate services because of the lack of facilities and qualified health workers like in big cities. Following is data on coverage of national health insurance membership in Indonesia in 2015 in each province, the current condition of membership in Indonesia is still very small at 53% of 133,423. North Maluku officially became a Province after it was previously part of the Maluku Province. Based on data in 2015, the total population of North Maluku Province registered as a participant in the national health insurance program was Corresponding Author: Muliana Muliana Lecturer, Department of Nursing, Health Polytechnic of Ternate, Jalan Cempaka, District Kota Ternate Selatan, Indonesia, e-mail: muliana. Most of the residents of North Maluku registered as participants of health insurance are recipients of assistance, of which there are around 328,965 people who are beneficiaries whose contributions are borne by the government(4). The fact that there are still many complaints from the public both directly and through the mass media, such as convoluted procedures, there is no certainty in the period of settlement, less transparent requirements, and the attitude of officers who are less responsive in providing services.

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In addition erectile dysfunction treatment with diabetes 160 mg super p-force oral jelly, data showed that 30 erectile dysfunction treatment alprostadil best super p-force oral jelly 160 mg,4% of the participants have had access to internet several times a day latest advances in erectile dysfunction treatment proven 160 mg super p-force oral jelly. Moreover erectile dysfunction treatment bay area quality super p-force oral jelly 160mg,almost the third of participants spent more than 32 hours per week online while half of participants spent more than 4 hours per week online. More than half of the participants were found out to be communicating with their friends (68. Prevalence of cyberbullying and traditional bullying: Prevalence of cyberbullying were 54,5% (n=1043). Considering cyberbullying acts,our study found that boys were more likely to send unpleasant messages, show embarrassing videos and photos of someone without his permission, and make unpleasant phone calls than girls (table 1). Also, participants between 1214 years old (18,3%) were more likely to be victims only and those between 15-16 years old (35,4%) were more likely to be perpetrators/victims. Material and Method Study Population: this survey was conducted from November 1st, 2017 to January 30th, 2018. Data were collected from a sample of students attending middleschool in the urban areas of Rabat. The participants were divided into two groups: those involved in cyberbullying and those who were not. The first group was classified into three profiles: victims only, perpetrators only and perpetrator/victim. Boys n=384 42,2% 19,0% -14,6% 31,5% 33,6% 54,7% 31,3% 25,5% Girls n=353 25,2% 10,5% -10,5% 28,6% 28,9% 57,5% 31,2% 15,9% pa-value 24,97*** 10,53** -2,80 0,73 1,88 10,37** 0,59 0,001 X2 Boys n=398 59,3% 15,2% 22,9% 20,9% 29,6% 32,2% 33,2% -24,6% Victimization Girls n=421 54,6% 16,8% 29,5% 19,5% 34,4% 40,6% 39,2% -24,5% X2 pa-value 1,81 0,40 4,58* 0,24 2,15 6,31* 3,21 -0,003 Risk Factors of Cyberbullying: Multinomial logistic regression showed that 12 of the fifteen predictors effectively predicted perpetrator/victim profile. The latter was correctly identified in 62 % of instances while victims only were identified in 8,9 % of instances only. The pseudo-r2 (Nagelkerke) was 0, 32 indicating a moderate fit between the model and the data. Discussion this study showed that the prevalence of cyberbullying was considerably important; more than half of the participants were involved in cyberbullying. However, worldwide the prevalence of cyberbullying varies from one author to the other. This variability may be influenced by the difference in measurement tools, definitions used, the duration of the study, age, cultural context or internet access in each country12,13. Our results indicated also that gender was not significantly associated with different profiles of cyberbullying. Some authors suggested that girls were more often victims15, while others suggested they were more often perpetrator/victims16. By sharp contrast,this survey documented that the predominant cyberperpetration behavior experienced by boys was sending unpleasant text messages and excluding the other from the group online. The most frequent act of cybervictimization received by both boys and girls was receiving unpleasant text messages online. These text messages that are privileged by the adolescents could be seen as a means of liberation allows them to let out their aggressive behavior. Considering risk factors of cyberbullying, this study showed that the main one was being involved in traditional bullying as bully/victim. The perpetration of aggressive acting online seems to be a more acquired behavior. Our results showed that prevalence of cyberperpetrators/victims was higher than traditional bully/victim. Perhaps the adolescents in our country use cyberbullying more than the traditional bullying to take revenge hiding behind the screen. Our results revealed that spending more time online and talking frequently about cyberbullying increase the odds of being perpetrators/victims. Indeed, in Morocco, Boughima Indian Journal of Public Health Research & Development, March 2020, Vol. Adolescent witnessed violence on their mothers in 93% of cases and were beaten with their mothers in 66. Although the sample was larger, this study has a limitation: the prevalence was limited only to the region of Rabat. More extensive researches across the country are needed to access other risk factors and to identify students at risk early and determine the impact of Cyberbullying 3.

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Introduction Lead is ahighly found in the environment because it is difficult to degradeand can come from exhaust fumes depression and erectile dysfunction causes purchase 160 mg super p-force oral jelly,industrial waste whey protein causes erectile dysfunction order super p-force oral jelly 160mg, batteries age for erectile dysfunction trusted 160mg super p-force oral jelly, etc erectile dysfunction my age is 24 proven super p-force oral jelly 160mg. Chitosan is a modification of a chitin compound found in the outer shells of Crustacean species such as shrimp. Chitosan has an antioxidant mechanism through its ability to stabilize free radicals (Scavenging) and bind metal ions (Chelating). The interaction between chitosan and heavy metals includes absorption, ion exchange, and chelation. Experimental Design: the number of samples used in this study was 25 white female wistar strainrats. The administration of lead acetate (dissolved with aquades) and chitosan (dissolved with asetat acid) was carried out orally. Surgery was done after a30 day treatment and in the proestrus phase by vagina swab. Statistical Analysis: Statistical analysis was begun with the data normality test and homogeneity test with a significance level of p>0. Material and Method Research Description: Thisin vivo study is true experimental with a post-test only control group design. The experimental animal was wistar strain rats (Rattusnorvegicus) exposed to lead and given an chitosan. Experimental Animal: the inclusion criteria were wistar strain rats, female, healthy (clean white fur, active), not pregnant, aged 8 weeks old, and 125175 gr of body weight. This is in line with the research by Dhir and Dhan (2010) that there will be a decrease in steroidogenesis activity in lead-exposed rats. The treatment groups 1, 2, and 3 also increase the 17 estradiol level but were not significant. The dose and length of exposure are some possible mechanisms that might occurso that they are not significant. New blood vessels develop during each menstrual cycle through angiogenesis and vascular remodeling originating from pre-existing blood vessels in the endometrial basal zone. Disrupted angiogenesis will disrupt blood vessel function such as abnormalities of menstruation. Chitosan has an amino group that is able to bind to metals (including lead),so lead acetate is stable and can reduce toxic properties in lead. Toxic Metals and Oxidative Stress Part I: Mechanisms Involved in Metal-induced Oxidative Damage. Importance of the lipid peroxidation biomarkers and methodological aspects for malondialdehyde quantification. Effects of long-term exposure of female rats to low levels of lead: ovary and uterus histological architecture changes. Regulation of angiogenesis in the primate endometrium: vascular endothelial growth factor. Effect of Antioxidant on Lead-Induced Oxidative Damage and Reproductive Dysfunction in Male Rabbits. Low level lead (Pb) exposure during gestation and lactation: assessment of effects on pubertal development in Fisher 344 and Sprague-Dawley female rats. Toxicological approach in chronic exposure to lead on reproductive functions in female rats (Rattus norvegicus). Aktivitas Antioksidan Kitosan Pada Ovarium Tikus Betina Yang Terpapar Timbal (Pb) Asetat. Effect of Estrogen on Vascular Endothelial Growth/ Permeability Factor Expression by Glandular Epithelial and Stromal Cells in the Baboon Endometrium. Expression of Vascular Endothelial Growth Factor Receptors in the Human Endometrium: Modulation During the Menstrual Cycle. Estrogen-induced activation of hypoxia-inducible factor-1, vascular endothelial growth factor expression, and edema in the uterus are mediated by the phosphatidylinositol 3-kinase/ Akt pathway.

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