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tral attitude towards this practice and 64.5% a high perception of it. A statistically significant relationship was obtained between knowledge and education (P=0.029), perception and age range (P=0.002), work experience (P=0.029), and ward of workplace (P=0.014). Conclusion Structured, regular and continuous educational programs with various and effective methods to maintain, promote and remove nursing employees' deficit of knowledge should continue more seriously. It is also necessary to identify the factors affecting the promotion of positive perception and attitude among nursing employees about hand hygiene.Statement of the problem The presence of a metal object such as dental implants in the scan field may cause artifacts on the cone-beam computed tomography (CBCT) images, which can reduce the diagnostic quality and accuracy of images. Purpose The aim of this in vitro study was to compare the severity of implant-induced metal artifacts on CBCT images. Materials and method To this end, a dry human mandible and a maxilla were selected, then two Roxolid and two Zirconium fixtures with different diameters were placed in the central incisor and first molar sockets and fixed with dental wax. The mandible and maxilla were placed in the simulated phantom for soft tissue, and the occlusal plane was adjusted parallel to the horizon. Images were taken at standard and high resolutions using two CBCT units. The CBCT gray values were measured in three longitudinal sections of the fixture (cervical, middle and apical) and the contrast noise ratio (CNR) was calculated. The CNR values of images were analyzed based on the fixture material, resolution, jaw, unit parameters and fixture size by using the paired t-test and different fixture sections by one-way ANOVA. Results Depending on the CBCT unit, the CNR values in Roxolid and Zirconium fixtures are completely different. Under higher exposure parameters, the CNR values of the Roxolid and Zirconium fixtures were significantly higher in the maxilla than mandible. However, the fixture size and longitudinal section type did not have a significant effect on the CNR values. Conclusion In contrast to the fixture material, scanning parameters and jaw type, differences in the size and longitudinal section of the fixtures had no impact on artifact severity.The aim of this study was to find the most effective surface preparation methods to enhance the bond strength between the composite resin and surface remaining from ceramic fracture. In this systematic review and meta-analysis, 39 studies were examined. The information related to the studies was extracted and categorized based on the type of the substrate material and applying or not applying thermal cycles (p less then 0.05). In the meta-analysis of substrate metal-ceramic samples without aging, application of air abrasion resulted in a significant increase of the bond strength to composite resin when using chemical compounds of the group without the mentioned functional monomers. Application of mechanical and chemical surface preparation methods can result in enhanced bond strength of the composite to the substrate material, which depends on the type of substrate material.Aim This study investigated the effects of e-waste occupational exposure on lipid profile and atherogenic indices in Waste Electrical and Electronic Workers in South-South Nigeria. Matrials and methods Whole blood levels of lead and cadmium were analyzed using ICPMS (Inductively Coupled Plasma Mass Spectrometry). Total serum cholesterol (TC), high density lipoprotein (HDL) cholesterol and triglycerides (TG) were determined using spectrophotometric method. Low density lipoprotein (LDL) cholesterol value was calculated by the Friedewald equation using analyzed values of TC, HDL cholesterol and TG. Atherogenic index of plasma (AIP) was calculated as log TG/HDLc, atherogenic coefficient (AC) as [(TC-HDLc)/HDLc], Castelli risk index (CRI-1) as (TC/HDLc) and CRI-II as (LDLc/HDLc). Results Total cholesterol, LDL cholesterol, AC, CRI-1 and CRI-11 significantly increased in the e-waste exposed participants compared to the unexposed group. Significant positive correlations between lead and cadmium, cadmium and total cholesterol as well as between cadmium and LDL-cholesterol were observed Conclusion Occupational exposure to e-waste borne chemicals may cause changes in lipid levels and increase risk of cardiovascular disease in the Nigerian e-waste workers included in the present study. The level of artisanal involvement in crude e-waste reprocessing should be considered critical in cardiovascular health risk assessment.Background In Romania there is a discrepancy between cancer incidence (last place in Europe) and mortality rate (over the medium rate in Europe), possibly due to a higher number of late diagnosis. This study aims to determine associations between delayed cancer diagnosis and psychosocial characteristics (depression, coping style, social support). Methods Cancer patients were administered a battery of tests for depression, anxiety, coping mechanism, social support, social status, medical and family history, and time between first symptoms and diagnosis. Results Delayed presentation was positively correlated with female gender (p=0.031), rural area (p=0.033) and law stress levels (p=0.045), depression (p=0.02). positive reassessment (p=0.002) and low positive refocusing (p=0.006). Conclusion Coping styles, depression and gender influence delayed diagnosis of cancer, this potentially contributing to a bad prognosis of oncology patients. Further longitudinal studies and screening procedures could contribute to a better understanding of individual contribution of these factors to delayed diagnosis.Objectives To investigate the differences in distribution of intracapsular and extracapsular hip fractures among genders and age groups treated surgically. Materials and methods This is a nine-year retrospective cohort study. The type of hip fractures, age, and sex-related as well as overall incidence among 2 430 patients aged over 65, surgically treated at the "Venizeleio" General Hospital of Heraklion, Crete, Greece, were explored and evaluated. Outcomes Women suffered hip fractures 2.9 times more often than men. The majority of patients hospitalized with hip fracture were above 75 years of age (62.3% in females and 59.3% in males). The proportion of extracapsular and intracapsular fractures were 59.6% and 40.4% in men and 62.7% and 37.2% in women, respectively. Extracapsular-intertrochanteric fractures were found to increase dramatically with age in women (from 52.3% in patients younger than 75 to 58.8% in those older than 75; p-value=0.007), while in men they slightly increased with age (57.7% in patients older than 75, compared to 55.7% in those less than 75; p-value=0.62). Conclusion The pattern of hip fractures was found to differ between genders and age groups in the present patients' population. Most likely, these findings reflect differences in the nature and rate of bone loss, and frequency of falling events between males and females. It has become evident that the two main hip fracture types (extracapsular and intracapsular) are distinct clinical entities. Hence, they should be addressed independently in terms of underlying causes and prevention strategies.Cardiovascular diseases are one of the most important causes of death globally. Results of recent studies have indicated that cytokine dysregulation was associated with premature coronary artery disease (P-CAD). The majority of cytokine gene polymorphisms influence the level of cytokine production and secretion. This study aimed to analyse IL-17 gene expression in patients with P-CAD and healty individuals in an Iranian population. This case-control study, conducted in Urmia University of Medical Sciences, compared patients with P-CAD hospitalised for risk of coronary artery stenosis, those admitted for medical cares and healthy normal controls. Thirty patients with P-CAD and 30 healthy individuals entered the study. The tested individulas were selected according to strict criteria such as clinical, echocardiogram, electrocardiogram and coronary angiography findings. Individuals with diabetes type 1 or 2 were excluded from the study. Reducing the diameter of at least one of the coronary arteries with more than 50% obstruction was selected as P-CAD. The qRT-PCR technique was used to determine the level of IL-17 gene expression in the studied groups. IL-17 gene expression was compared between the tested groups using t-test or Mann-Whitney U-test. Subjects' mean age (±SE) was 45(±5) and 44 (±4) among tested cases and related controls, respectively. The relative mRNA expression was 4.04±2.4 in patients with P-CAD and 2.75±1.3 in controls for IL-17. IL-17 gene expression was not significantly different in the tested groups (P> 0.05). IL-17 is not associated with risk of P-CAD in Iranian Turks.Introduction Recurrent patellofemoral dislocation (RPD) is a disabling condition with a variety of anatomical risk factors. Its management remains difficult and controversial. Patients with RPD are known to have increased femoral anteversion (FA) and tibial tubercle trochlear groove (TT-TG) distance, but their effect on the patellar tilt angle (PTA) is less studied. Aims The aims of this study are to compare PTA, TT-TG distance and FA between RPD patients and healthy controls and to establish a relation between these parameters and the type of surgery indicated for this pathology. Materials and methods A total of 63 knees (57.1% females, 28.1±6.2 years), of which 33 from subjects with RPD and 30 from healthy controls, were assessed by computed tomography (CT) scan under supine position, with the measurement of TT-TG distance, FA and PTA. Results The values of PTA, FA and TT-TG distance were significantly higher in the RPD group compared to the control group (CI 95% 9.52-11.64, CI 95% 5.87-11.8, CI 95% 6.44-9.72, respectively, with p value 20 mm, but no correlations were found between TT-TG and FA on less than 20 mm. Conclusion In patients with RPD, FA, TT-TG and PTA have significantly higher values than controls. Higher PTA, TT-TG and FA are associated with an anteversion angle greater than 25 degrees and a TT-TG distance more than 20 mm, which might indicate a derotational femoral osteotomy to these patients in order to correct this pathology.Background Type 2 diabetes mellitus is known to be associated with other endocrine dysfunctions and thyroid is one of them. In the current study we tried to evaluate the frequency of thyroid dysfunctions in patients with type 2 diabetes mellitus and compare them with a normal control population. Methods This cross-sectional study was carried out in the Department of Physiology and Department of General Medicine, Kakatiya Medical College, and MGM Hospital, Warangal, India. A total of 50 consecutive patients with diabetes mellitus type 2 were selected as cases, and an equal number of age- and sex-matched individuals with normoglycemia as controls. β-Lapachone Laboratory investigations included measurements of fasting blood sugar [FBS] and HbA1c values after overnight fasting for eight hours, serum triglycerides, along with serum TSH, FT3, and FT4, which were measured by chemiluminescence immunoassay. Results Among all cases of type 2 diabetes mellitus, eight (16%) presented thyroid disorders, with 10% in male patients and 6% in female patients.