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Introduction: Ensuring access to clean and safe drinking water is crucial, especially in flood-prone regions where the water quality in dug wells can deteriorate due to various physicochemical factors. This research was aimed to measure the effectiveness of natural materials in improving water quality based on physicochemical parameters and to compare water quality before and after treatment in Astambul Subdistrict of Banjar Regency, South Kalimantan Province. Methods: The study involved a survey of 192 private boreholes and dug wells across five villages in the Astambul Subdistrict, with 30 samples selected for detailed analysis. Key physicochemical parameters analyzed included total dissolved solids (TDS), dissolved oxygen (DO), turbidity, and total suspended solids (TSS). TDS, with a standard limit of 50 mg/L, served as a primary water quality indicator. DO, essential for gauging water oxygenation, and was measured as it results from photosynthesis and atmospheric absorption. Turbidity was assessed using a turbidimeter to determine water clarity, and a UV-vis Spectrophotometer 2008 was utilized to measure levels of iron (Fe) and mangasene (Mn). Results and Discussion: The findings demonstrated that coconut shells, husks, and water hyacinths improved water quality across physical and chemical parameters. Statistical analysis using t-tests showed improvements in these parameters after treatment. For example, DO levels increased in multiple villages, with the highest percentage in Kaliukan Village (59.2%) and decreases in turbidity and TSS. Conclusion: The study concluded that coconut shells, husks, and water hyacinths have potential to enhance physicochemical quality of water. [ABSTRACT FROM AUTHOR]

The performance of the teacher can also be used by the individual for himself, looking at his self-image and self-esteem and reading from others in relation to his academic abilities and achievements, studying in school, making schoolwork, and rewarding his achievements. Study on implementation of madrasah quality improvement program in Kampar District proposed the problems are: 1) implementation of student quality improvement program at MTs Negeri in Kampar District; 2) the implementation of madrasah quality improvement program on teacher performance at MTs Negeri in Kampar District; 3) the implementation concept of madrasah quality improvement program on teacher performance at MTs Negeri in Kampar District. The result of the study that can be writweet is implementation of school intensity improvement program on teacher performance of MTs Negeri in Kampar District is moderate with percentage of 63,83% there is significant change between supervisor performance for teacher with influence equal to 0,489. [ABSTRACT FROM AUTHOR]

Purpose: To report the outcomes of gestational trophoblastic neoplasia (GTN) at a single institution and to determine the factors affecting response to chemotherapy and survival. Methods/Patients: From 1979-2010, we retrospectively reviewed the data of 221 patients treated at our center. GTN Patients were assigned to low-risk (score ≤6) or high-risk (score ≥7) based on the WHO risk factor scoring system. Overall survival (OS) probabilities were estimated using Kaplan-Meier method. Logistic regression was applied to study the impact of different factors on the response to initial therapy. Results: Patients' OS rate was 97 %. Median age at diagnosis was 37 year. 131 (59 %) patients had low-risk and 88 (40 %) cases had high-risk GTN. Complete remission rates to initial chemotherapy in low-risk group were 53 % and 87 % for single-agent methotrexate or dactinomycin, respectively. In high-risk group, 94 % achieved complete remission to initial chemotherapy with etoposide, methotrexate, dactinomycin, cyclophosphamide, and vincristine (EMA-CO). Etoposide, cisplatin, and dactinomycin as primary therapy in high-risk patients was successful in 70 %, while bleomycin, etoposide, and cisplatin (BEP) was successful in 53 % of cases. Salvage chemotherapy, surgical intervention or radiation therapy resulted in overall complete remission of 90 % in low-risk and 73 % in high-risk groups. Factors associated with resistance to initial chemotherapy were advanced-stage III/IV ( p = 0.005), metastatic site other than lung or vagina ( p = 0.005) and high-risk prognostic score ( p = 0.05). OS was significantly influenced by the type of antecedent pregnancy (molar 98 % vs. others 93 %; p = 0.04), FIGO stage (I, II 100 % vs. III, IV 94 %; p = 0.02), score (low-risk 100 % vs. high-risk 92 %; p = 0.01), and site of metastasis (lung/vagina 98 % vs. others 85 %; p = 0.002). Conclusions: GTNs have excellent prognosis if properly treated at experienced centers. Single-agent dactinomycin seems more effective for low-risk GTN. EMA-CO remains the preferred primary treatment regimen for high-risk group. The excellent outcome reflects the success of salvage therapy. [ABSTRACT FROM AUTHOR]

Surgical resection in oral cancer patients can result in altered speech, swallowing, and patient perception of quality of life (QOL). Oral surgery can result in reduced lingual range of motion (ROM). However, few studies have quantified the degree of lingual restriction after surgery. This pilot study describes a new measurement system to define tongue ROM in surgically treated tongue cancer patients. This measurement system was validated by comparing results in these treated surgical patients versus healthy individuals. This scale was further validated by correlating ROM with performance status, oral outcomes, and patient-rated QOL. Thirty-six patients who underwent oral tongue surgery and 31 healthy individuals were included. Tongue ROM was assessed using a novel ROM assessment system. This novel system was examined in these patients versus healthy subjects. This measurement tool was further validated by correlating tongue ROM in treated patients with performance status, oral outcomes, and patient-rated QOL. Tongue ROM was found to be significantly lower in the surgically treated patients than in the healthy individuals ( p = 0.0001). Tongue ROM correlated with performance status, oral outcomes, and all QOL measures. This new tongue ROM measurement system defined tongue deficits in surgically treated oral cancer patients. This tool was validated by comparing results to those in healthy individuals, as well as by correlating tongue ROM to performance status, oral outcomes, and QOL. This measurement tool can be used to define baseline and postsurgery tongue ROM in oral cancer patients, as well as track change over time with recovery and therapy. Future studies should examine use of this measurement tool with other populations demonstrating tongue deficits. [ABSTRACT FROM AUTHOR]

Concomitant chemoradiotherapy provides organ preservation for those patients with head and neck cancer. We report the results of a prospective study that examined functional outcomes and quality of life (QOL) after chemoradiotherapy over the first 6 months post-treatment (tx). Twenty-nine patients with head and neck cancer were treated with chemoradiotherapy. All were seen baseline and 3 and 6 months post-tx. Assessments included the performance status scale (PSS), Karnofsky performance status scale, tongue strength, jaw opening, and saliva weight. QOL was patient-rated using the eating assessment tool (EAT-10), MD Anderson dysphagia inventory, speech handicap index (SHI), and the EORTC H&N35 scale. Repeated-measures ANOVAs were used, with significance at p < 0.05. PSS scores were significantly different across time points. Tongue strength, jaw range of motion (ROM), and saliva weight were significantly lower at 3 and 6 months than at baseline. QOL was significantly worse after tx, although it improved by 6 months as rated with the EAT-10 and the SHI scores were significantly worse at 3 and 6 months. EORTC domains of swallowing, senses, speech, dry mouth, and sticky saliva were significantly worse at 3 and 6 months. Concomitant chemoradiotherapy for treatment of head and neck tumors can result in impaired performance outcomes and QOL over the first 6 months post-tx. However, performance status, tongue strength, jaw ROM, and eating QOL were only mildly impaired by 6 months post-tx. Saliva production and speech QOL remained significantly impaired at 6 months post-treatment. Current studies are examining outcomes at 12 and 24 months post-treatment to better predict outcomes over time in this population. [ABSTRACT FROM AUTHOR]