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Abstract : This study aimed to conduct an evaluation of a cross-sectional study with the purpose of knowing the methods of treatment utilized and outcomes for patients with comminuted mandibular fractures due to missile injury. Collaborated with Ghazi Al-Hariri Teaching Hospital. For this study, (50) patients, (48) males and (two) females aged ranged between from 18 - 47 years old (mean = 28.2) that fulfilled the inclusion criteria were participated in this study. Complications occurred in (48%) of the patient, and the highest proportion of patients that showed postoperative complications was those who had developed an infection in (30%) and malocclusion in (18%). Open reduction illustrated more complications than closed reduction, and the complication rate for patients undergoing closed reduction with MMF was (16%) and for patients treated with open reduction and stable internal fixation was (32%), but with no significant association between the two methods (p > 0.05).

Abstract : Treponema pallidum causes syphilis, a systemic disease. In developed countries, the prevalence of syphilis is 90%. Early syphilis lesions are papules in sexual contact sites that appear 10-90 days (on average three weeks) after sexual contact. We are reporting a case of primary syphilis in a 21 years old man who was treated with enhance antibiotic therapy doxycycline and benzathine penicillin to reduce a significant syphilis titer after a month after therapy.

Abstract : Scabies is still a health problem in the world. In Indonesia, the prevalence of scabies in 2017 was 6% of the total population. The diagnosis of scabies can be established clinically by finding its four cardinal signs. However, mostly in practice, the clinical symptoms are atypical, resemble other manifestations of skin diseases, such as eczema and/or impetigo, or the patient presents with secondary infection and lichenification. This may cause misdiagnosis that leads to unfair treatment. Consequently, the patient does not recover and continues to be a source of infection for their environment. Since clinical and microscopic diagnosis is difficult, this study aims to evaluate molecular detection to identify scabies infestation in suspected patients and compare it to clinical diagnosis. The skin scrapings used as samples in this study were collected from Darul Ishlah Islamic Boarding School students. The subjects were selected using a cross-sectional survey formula to determine the sensitivity and specificity of the clinical diagnosis method compared to PCR, which was the targeted Cox-1 gene. Out of the 53 patients diagnosed clinically with scabies, 50 were S. scabiei positive on PCR examination, and 8 additional positive PCR results were from 35 clinically negative patients. When compared with the IACS 2020 criteria, a significant difference in proportion was discovered between clinical and molecular diagnoses. Therefore, the PCR sensitivity in diagnosing scabies infestation was 94.1%, 77.3% specificity, 87.5% accuracy, 86.2% positive predictive value, and 90% negative predictive value. The results showed that PCR can be used to detect scabies infestation as an evidence-based diagnostic tool.

Abstract : Type 2 diabetes mellitus is a long-term metabdic condition marked by a relative lack of insulin secretion, insulin resistance, or both, it results from an imbalance between oxidants and antioxidants factors. The current research was performed to correlate the concentrations of non-enzymatic antioxidants Glutathione, Ceruloplasmin and the concentration of some trace elements that act as antioxidants Selenium, Zinc, Copper and Iron in blood serum of type 2 diabetes patients compared to healthy control in Basra Governorate _ Iraq by according to gender. In this study a total number of (50) diabetic patients (26 Males, 24 Females) as compared with (43) healthy (11Males, 33 Females). It was found that a highly significant increase (P<0.001) in Ceruloplasmin, Copper and Iron concentrations in all diabeticpatients in comparison to the healthy control. As well as there were a highly significant decrease (P<0.001) in Glutathione, Selenium and Zinc concentration in serum of all diabetic patients as compared to healthy control. Also there were no significant difference between males and females patients in serum concentration Glutathione, Ceruloplasmin, Zinc and Copper, but there was a significantly increase (P<0.05) in serum concentration Selenium and Iron in males than females patients. A weak negative correlation was found between (Zinc and Iron) and it was no significant (P>0.05). Also there were a weak positive correlation between (Copper and Ceruloplasmin), it was no significant (P>0.05). In addition there were a weak positive correlation between (Glutathione and Selenium), it was no significant (P>0.05) in diabetic patients.

Abstract : Malnutrition can be caused by inadequate food, disease or disability. Two factors cause malnutrition, namely direct causes and indirect causes. The direct causes are the lack of quantity and quality of food consumed and the suffering from infectious diseases. Indirect causes are household food availability, behaviour, and health services. This research is a quasi-experimental research design with a control group pretest-posttest. The study was conducted in the Seberang Padang Health Center area, Padang City, West Sumatra. This study used a quasi-experimental approach with a control group before pre-and post-test. The sample size of 140 proved sufficient for the study data to be collected using a structured questionnaire at pre-test and six months post-intervention. Data were analyzed using the chi-square test. The prevalence of children with infectious diseases decreased severely at the post-test was 37.2% (72.9% to 35.7%) in intervention and increased by 11.4 % (42.9% to 54.3%) in the control group. There was a statistically significant change in the prevalence of infectious diseases between the intervention and control groups during the pre-test and post-test (p=0.001 and p=0.041). The six-month integrated nutrition health intervention model could reduce the incidence of infectious diseases in malnourished children. There are several suggestions that the author conveys to the Padang City Health Office to conduct regular training for health workers on the concept of providing nutritional care to various age groups of toddlers and provide an effective and efficient form of documentation of nutritional status assessment in controlling the outbreak of infectious diseases in toddlers.