Vibration anesthesia during carboxytherapy for cellulite: a study protocol

Background: To date, there has been no investigation addressing the effects of vibration anesthesia during carboxytherapy. Aim: Investigate the analgesic effect of different vibratory devices during carboxytherapy for the treatment of cellulite. Materials & methods: A total of 78 women between 18 and 49 years of age with cellulite in the gluteal region will be randomly allocated to three groups: Group A (carboxytherapy and vibratory device A), Group B (carboxytherapy and vibratory device B) and control group. Pain intensity will be assessed using a numerical rating scale after each puncture. Expected outcome: Vibration anesthesia is expected to be effective at diminishing the pain intensity caused by carboxytherapy comparison with the control group, with no differences between the vibratory devices. Trial registry: Brazilian Registry of Clinical Trials- ReBEC (RBR-8jcqy7c)

Pelatihan dan Pendampingan English for Tour Guide Pada Program Pendidikan Kecakapan Kerja 2021 di Kabupaten Situbondo

The Employment Skills Education Program (PKK) is a government assistance program that aims to prepare human resources who are skilled, have character, are competitive, and have the ability to innovate. This is an aid to industry-based courses and training and entrepreneurial opportunities. Through the results of initial observations that have been made, graduated students of English Literature Faculty of Letters UNARS do not have special courses on skills as a tour guide. Through the English for Tour Guide Training program those who are interested in following the skills as a tour guide are included as participants in the 2021 PKK program and will be trained to have competence as a tour guide. PKM program participants who gain the skills to become tour guides will be very useful as their provision to find work. In collaboration with the AUSEI course institution as a service partner for PKM activities, it is hoped that later PKK program participants will have a competency certificate to work. This training and mentoring are carried out for approximately three months where students are given English language guidance and training that focuses on the English for Tour Guide material. During the training, students also had the opportunity to discuss and ask questions if they encountered problems during the training to reach the right solution. The expected outcome of this PKM activity is that students have special skills in English about English for Guides as evidenced by a certificate of competence. Keywords: English, English for Tour Guide, PKK program.

Improvement Of Knowledge and Skills of Hospitality in Tourism Group in Budo Village, District Wori, North Sulawesi Province

A hospitality attitude is needed by the local community when the village where they live will become as a tourism village. This attitude is closely related to the way the community welcomes guests who come and even stay overnight in tourist villages. The aim of this training program is to improve hospitality knowledge and skills in tourism groups in Budo Village, wori sub-district, North Minahasa Regency. The training method is carried out in the form of: a teaching system, simulation through role play, and at the end of the training an evaluation of the entire material being taught is carried out. The expected outcome is an increase in the knowledge and skills of the tour groups and has a broad impact on the local community in Budo Village

Peningkatan Kemampuan Pembukuan Pada Ukm Bakmi Pak Gembong

One of the characteristics of small industries is that they still face many obstacles, both in terms of production and business management. The production aspect includes technology/equipment, production continuity, quality uniformity, packing, labeling, etc., while in the business management aspect there is not much support for promotions, marketing development strategies, and limited distribution and bookkeeping of business results. The same thing happened to Bakmi Pak Gembong who was in Rejosari Village, East Semarang District. Where Pak Gembong's Bakmi Business is still a small-scale industry that also has problems in terms of management, especially in terms of recording the results of its business. To overcome these problems, Community Service activities were carried out by providing counseling about the importance of recording all matters relating to the operation of a business. The expected outcome of this Community Service activity is that SME actors have an understanding of the importance of recording their business on a regular basis and the benefits derived from recording business operations on a regular basis.

Embalming, Viewing and the Social Construction of the Corpse: Time for Another Look

Embalming of the dead is more common in the United States than anywhere else in the world. Battles far from home during the Civil War with concern for contagion from dead bodies being shipped home, compelled President Lincoln to direct the troops to use embalming to allow the return of the Union dead to their homes. Viewings were common with war heroes and culminated with the viewing of Lincoln himself. In the 20th century embalming became a tradition despite substantial evidence indicating environmental and occupational hazards related to embalming fluids and carbon dioxide generated from manufacturing steel coffins before placing in concrete burial vaults. Embalming is promoted and considered helpful to the grieving process when families are comforted by a the appearance of a peaceful death. Embalmers are expected to produce an illusion of rest, an image that in some ways disguises death for the benefit of mourners. The dead are carefully displayed in a condition of liminal repose where the 'true' condition is hidden, and death is removed from the actual event. In this paper we highlight the spiritual and cultural complexities of embalming related- issues. We also provide data on the lack of grieving families’ preparedness for the financial burden associated with the death of a loved one and the lack of knowledge of alternative options. We propose an innovative process to empower people facing serious illness, and their families to make shared and informed decisions, especially when death is the expected outcome.

Teaching People by Justifying Tree Search Decisions: An Empirical Study in Curling

In this research note we show that a simple justification system can be used to teach humans non-trivial strategies of the Olympic sport of curling. This is achieved by justifying the decisions of Kernel Regression UCT (KR-UCT), a tree search algorithm that derives curling strategies by playing the game with itself. Given an action returned by KR-UCT and the expected outcome of that action, we use a decision tree to produce a counterfactual justification of KR-UCT’s decision. The system samples other possible outcomes and selects for presentation the outcomes that are most similar to the expected outcome in terms of visual features and most different in terms of expected end-game value. A user study with 122 people shows that the participants who had access to the justifications produced by our system achieved much higher scores in a curling test than those who only observed the decision made by KR-UCT and those with access to the justifications of a baseline system. This is, to the best of our knowledge, the first work showing that a justification system is able to teach humans non-trivial strategies learned by an algorithm operating in self play.

Empirical review on determinants of potato and onion production technology packages adoption in Ethiopia

Vegetable production technology packages adoption is essential for intensifying its productivity thereby improve the income of smallholder farmers in Ethiopia. Analog to vegetable, production adoption of Potato and onion also play a great role in improving the daily livelihood of farmers. However, there are few studies on its technology adoption to encourage farmers to substitute their production methods by modern production techniques and maximize return from the sector. The objective of this review paper is to review determinant factors of vegetable technology package adoption in Ethiopia by using the finding of popular published empirical researches. The findings of the review identified that, adoption of potato and onion technologies in Ethiopia is low due to different constraints caused by demographic factors, socio-economic factors, institutional factors and technological factors. Similarly, different empirical researches which are reviewed by this 0review paper identified different types of potato and onion production technology packages like improved seed varieties, fertilizers, quality seed, irrigation services, crop protection methods, and storing house.As a result of the above combinations of vegetable production technology adoption factors, the expected outcome to be obtained from the sector is still poorly performed. By considering the importance of these potato and onion production technology packages, applying and implementing the procedures of adoption bring the decision to adopt technologies and improve the extent of it thereby sustain potato and onion production in Ethiopia.

Local topology and bifurcation hot-spots in proteins with SARS-CoV-2 spike protein as an example

Novel topological methods are introduced to protein research. The aim is to identify hot-spot sites where a bifurcation can alter the local topology of the protein backbone. Since the shape of a protein is intimately related to its biological function, a substitution that causes a bifurcation should have an enhanced capacity to change the protein’s function. The methodology applies to any protein but it is developed with the SARS-CoV-2 spike protein as a timely example. First, topological criteria are introduced to identify and classify potential bifurcation hot-spot sites along the protein backbone. Then, the expected outcome of asubstitution, if it occurs, is estimated for a general class of hot-spots, using a comparative analysis of the surrounding backbone segments. The analysis combines the statistics of structurally commensurate amino acid fragments in the Protein Data Bank with general stereochemical considerations. It is observed that the notorious D614G substitution of the spike protein is a good example of a bifurcation hot-spot. A number of topologically similar examples are then analyzed in detail, some of them are even better candidates for a bifurcation hot-spot than D614G. The local topology of the more recently observed N501Y substitution is also inspected, and it is found that this site is proximal to a different kind of local topology changing bifurcation.

CAROTID-CAVERNOUS FISTULA (CCF) - A REVIEW

A carotid-cavernous stula (CCF) is the result of an abnormal vascular connection between the carotid system (ICA/ECA) and the venous channels of the cavernous sinus. CCFs are classied based on the arterial system involved, hemodynamics, and etiology. The presentation can be varied and nonspecic; commonly presents with ophthalmic manifestations due to impairment of venous drainage of the orbit from the cavernous sinus. Early diagnosis and appropriate management is essential to avoid vision and life-threatening complications. Patients with CCF may initially present to an ophthalmologist with decreased vision, conjunctival chemosis, external ophthalmoplegia and proptosis. Ophthalmologist may be the rst physician to encounter a patient with clinical manifestations of CCF, and this review article should help in understanding the clinical features of CCF, current diagnostic approach, usefulness of the available imaging modalities, possible modes of treatment and expected outcome.

Interventions to improve vaccination coverage of children in hard-to-reach population: A systematic review

In the last decade, vaccination has reduced a quarter of child deaths worldwide. Vaccination coverage increased, but the coverage remains low in the hard-to-reach population. We searched articles from Pubmed MEDLINE, SCOPUS, Web of Science, and Science Direct to systematically review interventions to improve children's vaccination coverage in hard-to-reach populations. The expected outcome was vaccination coverage, which mentioned Odds Ratio, mean difference, or difference-in-difference with a 95% CI or p-value. Out of 102 articles identified, five articles from four different countries met the inclusion criteria. Four of the five studies reported a positive impact in increasing vaccination coverage. Interventions that showed good effectiveness in increasing the coverage of childhood immunizations were the application of mHealth given to vaccinators, multiple interventions involving the community, modification of immunization schedules during outreach activities, and immunization screening cards. Despite the inconsistent finding, mHealth with SMS reminders was the most effective intervention to increase vaccination coverage and relatively low-cost. More research was needed in developing a strategic intervention to increase vaccination coverage of children in hard-to-reach populations.