Mandible disruption or tearing off is the most severe damage observed in cranio-maxillofacial traumas (CMT). This result in chronic health issues because of CMT risk of unhealthy state of body has been increased which is related to deformities in face which give rise to many operational limitations and many changes in appearance of damaged face. The damage has occur with huge amount of energy that causes almost complete tearing of mandibular bone. Disruption of mandible bone in such a way causes removal of the skin and subcutaneous tissues of the mandible that affects blood vessels, muscles and nerves of particular area. In this case study we had discussed about a case of mandible damage of patients that are caused by car accidents. Importantly we focus on correct procedures for stabilization of patient, appropriate control of damage and specifically reconstruction of face in better ways.

As we know that in differential calculus, Rolle\'s Theorem and Lagrange Mean-value Theorem are significant and also in information theory entropy function (measure) is used to measure the uncertainty of information. Here some characteristics of differential calculus in information entropy function have been discussed. Here, it has been shown that entropy function satisfies Rolle’s Theorem and Lagrange Mean-value Theorem. Here it is also stated that when Rolle’s Theorem become necessary and sufficient condition for entropy function.

Nowadays, microstrip filters are widely used in microwave circuits. However, a microstrip filter requires large circuit sizes for good performance. A general microstrip filter has the disadvantage of maintaining the original circuit size to obtain better performance. In this paper, a spurline is added to a microstrip filter to improve the performance of the filter. A meander spurline is also implemented in a microstrip filter to compare the performance between different types of microstrip filters. A few designs for microstrip bandstop filters (BSF) are created and analyzed. The proposed microstrip BSFs include a spurline filter, meander spurline filter, and no spurline filter. The results show that the microstrip BSF with a spurline performs better than the other filter designs. This proposed filter has a small circuit size of 167.80 mm3 with a wide stopband bandwidth of 2.92 GHz, stopband frequency 6.05GHz at an attenuation loss of -60.2 dB, and relative bandwidth of 48.3%. This filter successfully miniaturized the circuit size by a maximum of 71.6% and improved the bandstop bandwidth by 71.8% and stopband frequency by 142.0% compared to designs from other authors. The size reduction successfully achieved in this study lowers the cost and makes the filter more compact and easy to attach to other equipment in a communication system. Measurements also show a bandwidth for the microstrip bandstop filter of 3.01 GHz, which demonstrates high-quality performance for a small filter

Dry eye syndrome is a disorder of tears and ocular surfaces marked by discomfort in the eyes associated with decreased tear production and rapid tear evaporation abnormalities. Cataract surgery is an operation involving the conjunctiva and cornea, aims to produce good vision but can cause symptoms of dry eye syndrome. To determine the accuracy, sensitivity and specificity of the Schirmer 1 test dan TBUT in postoperative cataract patients at the Eye Center Hospital in Palembang. Diagnostic test was undertaken in March 2018 to January 2019 at the Special Eye Hospital in Palembang. There were 40 postoperative cataract patients who met the inclusion and exclusion criteria. This study has been conduct Schirmer 1 test and TBUT periodically from 1 week, 2 weeks and 1 month after cataract surgery. The data analysis has been done with diagnostic research by SPSS version 20.0 (SPSS, Inc Chicago, Illinois).Fourty samples of postoperative cataract surgery with phacoemulsification technique obtained by female sex with 22 out of samples were (55%), with an average age of patients between of 60-70 years. The accuracy of Shirmer 1 and TBUT test was 0.425 and the sensitivity value was 39.5% and also the specificity value was 100%. Schirmer 1 test and TBUT in patients of post cataract surgery with phacoemulsification techniques are specific (100%) but less sensitive (39.5%).

Senile cataract is a clouding of the lens that occurs at more than 40 years of age. Cataract is the most common cause of loss of vision in the world. Lens turbidity occurs due to protein aggregation that appears without a definitive cause. Some risk factors are considered related to the occurrence of lens turbidity, one of them is allergic process. Immunoglobulin E (Ig E) is an antibody that binds to the Fc receptor which is most found on the surface of mast cells and has a role in the response to allergens. This study determined the relationship of serum Ig E levels and age-related cataract at Eye Specialty Hospital in Palembang, Indonesia. An observational study with cross-sectional design was undertaken in October 2018 to May 2019 at Eye Specialty Hospital in Palembang. There were 86 patients who met the inclusion and exclusion criteria. The independent variable in this study was the level of serum immunoglobulin E and the dependent variable is senile cataract. The data analysis has been done with diagnostic research by SPSS version 20.0. Thirty five people suffered from senile cataracts and fifty one people did not suffer from cataracts. The mean IgE level in senile cataract patients was 5.129 ± 1.588 ng /mL while in patients without cataracts it was 5.001 ± 1.564 ng/mL. There was no difference in Ig E levels between senile cataract patients and patients without cataracts (p = 0.891). With statistical analysis using the ROC curve it was found that the IgE concentration cut off point was 5.046 ng/mL. There were 54.3% of senile cataract patients and 51% of patients without cataracts who had IgE levels > 5.046 ng/mL. Patients with IgE levels > 5.046 had an almost equal risk of senile cataracts compared to patients with IgE levels <5.046 (PR = 1.142 (CI95% 0.482 - 2.705; p = 0.935). Based on this research, there was no significant relationship between IgE levels and the incidence of senile cataracts.

Bakground; Diabetes mellitus (DM) is the most commonly found degenerative disease. The disease is characterized by elevated blood sugar levels (hyperglycemia) and high levels of sugar in the urine. Diabetes Mellitus is a chronic disease that requires long-term care and requires the thorough management of all medical teams at a health care center in the hope that the patient is capable of self-management to prevent acute and chronic complications. Method; This research uses Experimental Design method, with research design of single variable pre Experimental Design One Group Pre-Post Test. Result; The significance of the relationship of variables studied also showed significant significance with p value 0.011 (<0.05). Discussion; client with diabetes mellitus must be given health education in order to prevent their habit and behavior in blood sugar control. All health practitioners must work together to give client understanding and health education for blood sugar controlling.

Since shift-work systems are very common in industrial societies, this study aimed to investigate the condition type of circadian in workers employed in one of Iran\'s iron-ore mines. It also investigates the relationship between the amplitude and stability of the circadian rhythm with the shift work hours and the problems caused by it.\nThe present cross-sectional study investigated 356 persons who worked on their shift work hours or their working day. The samplings were collected by the standard questionnaire of “Survey of Shift Workers” (SOS) and “Determination Checklist of Circadian” (CTI) was used. \nThe results showed that shift work had a significant effect on individual activities (p = 0.034) and family life (p = 0.0001) in shift-workers compared to fixed-day ones. It was also found that inflexible individuals, problems such as digestive problems and psychological problems were less specified in shift workers. \nIndividuals, whose stability of circadian rhythm is flexible, show more flexibility relating to sudden changes occurring in the inner rhythm, and they encounter less working-shift issues, too. In contrast, the individuals, whose circadian rhythm is rigid resisting sudden changes are susceptible to problems caused by shift work.