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February 2019

Introduction: Pulmonary tuberculosis is a chronic destructive lung disease with caseation, necrosis and fibrosis that lead to the formation of cavities. These cavities facilitate the growth of many organisms including fungi by providing plenty ofoxygen and necrotic tissue material. Material and Methods: A cross sectional study conducted in the department of respiratory medicine, govt medical college, kota.200 sputum samples were taken and divided into 4 groups of 50 cases each. Results: Fungal co- infections were more common in male sex, malnourished, smoker and alcoholic.

Sclerodermais a multisystem autoimmune disease in which there is increased fibroblast activity resulting in abnormal growth of connective tissue. Systemic sclerosis is classified into two main types: Diffuse cutaneous and limited cutaneous scleroderma. Commonest presentations of limited scleroderma were Calcinosis, Raynaud's phenomenon, oesophageal dysmotility, Sclerodactyly, Telangiectasia and only facial skin manifestation is very rare presentation. We are presenting a case report of rare involvement of facial skin only as an initial manifestation of limited scleroderma.

Background: Evidence-based practice is an important aspect of healthcare delivery as its principles are internationally recognised to have instigated quality improvement initiatives. However, available evidence suggests that complexities surrounding its implementation largely exist in healthcare settings. Aim: This study aimed to explore impact power dynamics on evidence-based practice implementation in nursing in the Nigerian acute care setting. Method: A qualitative case study approach was utilised to study two hospitals drawing on interviews.

A case of 55 year old male patient suffering from diabetes mellitus since 15 years, showing neuropathic symptoms in lower extremities since 2 years. The classical symptoms like parasthesia, numbness in both lower limbs along with burning and tingling sensation were present in the patient. These symptoms were aggravated since three months for which patients came to visit the OPD of RLAMCH, Chandkhuri, Durg. The patient was examined as per the routine procedure and shifted to the IPD for further specific treatment and management.

Introduction: Hip fractures are relatively common injuries in adults and are associated with substantial mortality and morbidity, especially in the elderly. While patients above 60 years are considered for arthroplasty, the study focuses on evaluating internal fixation in carefully selected patients of this age group. Aim: This study is aimed at evaluation of clinicoradiological and functional outcomes of fixing femoral neck fractures in a selected elderly population.

Aim: Comparative evaluation of effect of two demineralising agents on the apical microleakage in root end cavities filled with MTA Plus. Materials and Method: Forty five single rooted teeth were selected and biomechanical preparation was done upto F2 Protaper. Root canals were obturated with AH Plus sealer and Guttapercha. Access cavities were sealed with GIC. Apical root-resection was then performed by removing 3mm of the apex at 90° to the long axis of the root with a straight fissure bur. Root-end cavities were prepared using diamond fissure bur upto 3mm.

Today, despite the application and constant improvement of various techniques such as sinus floor elevation, vertical and horizontal augmentation of the alveolar ridge, the use of zygoma and extra-short implants etc, the issue of functional and aesthetic rehabilitation of distal maxillary defects with dental implants persists. Unsatisfactory quantitative and qualitative parameters of bone tissue in this anatomical site considerably complicate, and at times even make it impossible to install dental implants.

At present when endodontic surgery is considered, the gold standard as retrograde filling material which comes to mind is the Biodentin. However there are certain other materials available in the market but due its improved physical properties in the clinical application, this material is considered as the first option.

Background: The tongue is the second most commonly affected oral site after periodontal tissues in diabetes. Diabetic complications are mainly attributed to oxidative stress and side effects from long term use of drugs to treat diabetes. MO has been reported to be a valuable source of natural antioxidants. Materials and methods: this study comprised three groups; control, diabetic and MO treated groups. The experiment was terminated after fourteen days.

The purpose of this study was to assess the challenges and strategies of teaching speaking skills in large classes. To this end, Mettu preparatory school which is found in Ilu Abba Bora Zone, Oromia region is selected. The respondents of the study were four English language teachers and one hundred twenty students from grade eleven. Descriptive survey-which is known as cross-sectional research design was used to describe the current situation of the study, and purposive and simple random sampling techniques were used to select a number of study units from a defined population.

Introduction: Today’s economic and social changes force universities to try to find new learning approaches. E-Education is an evolved form of the old methods of teaching and learning that using in formation technology proposed and Forward as fast as the preferred method of learning was introduced in the era of knowledge. Initially e-education stood for electronically enhanced education.

Background: Quality assessment can inform us about the nutritional values of food, but also about its origin (i.e. cultivation techniques) and organoleptic properties. Analysis of foods is continuously requesting the development of more robust, efficient, sensitive, and cost‐effective analytical methodologies to guarantee the safety, quality and traceability of foods in compliance with legislation and consumers demands. Biogenic amines are a class of molecular marker, used to recognize and to identify food origin, vegetables maturity, cultivation techniques and storage time.

This research was meant to find out whether or not university students regularly spend more time in the library and to identify challenges students face not to regularly spend more time in the library with reference to three selected public universities (Hawassa, Wolaita Soddo and Wachemo) in the South Nation, Nationalities and Peoples’ Regional State of Ethiopia. A descriptive design with a mixed approach was employed. A seven-point and five-point scale questionnaire was used to gather data from 1500 students (500 students from each university).

Background: Success of endodontic treatment depends on complete debridement and disinfection of root canal space. Objective: The evaluation of the efficiency of the Chlorhexidine and ozone gas in the elimination of Candida Albicans in the root canals. Hypothesis: Is Chlorexidine treatment more effective than ozone gas treatment? Materials and methods: In this study we inoculated 20 teeth with C. albicans. All teeth were washed with 10 cc of sterile saline solution. The root canals were incubated with Brain-Heart infusion broth at 37°C for 24 hour.

Alternating current filed measurement (ACFM) is an electromagnetic non-destructive testing technique for detecting defects on metal surfaces and near surfaces. ACFM data acquisition system uses the programmable logic device FPGA and A/D converter to quantize and control the signals according to the selection of the work piece to be inspected, and then realizes the data communication between the PC and the hardware through the serial communication mode to complete the acquisition and digitization of the signal.

In the article some information about market relations‟ coming into being in Uzbekistan and Azerbaijan is given, and also the dynamics of bilateral collaboration of the two countries in trade- economic sphere is traced back. The information about the reasons impeding the development of these relations is given, the significance of bilateral interest of the countries to each other is revealed, which, as a result, led to mutually beneficial and fruitful collaboration between the two fraternal countries: Uzbekistan and Azerbaijan.

As a juristicyet inanimate person, the company exercises its powers through the members in general meeting, the board of directors and committees set up by the company. It is at meetings that members exercise ultimate control of the company, give directors the opportunity to explain results and applaud or denounce managements. The humongous power of especially transnational companies makes the conduct of their meetings a very crucial factor not only in corporate governance or social responsibilities but also in national development.

This study aims to analyze the opportunity offered by the socio-cultural environment in the act of fraud. It is based on a field survey of 51 individuals selected using the reasoned sampling method. The data collected were analyzed both qualitatively and quantitatively. The theory behind this study is Cohen and Felson's theory of opportunity. The tested hypothesis is verified because in terms of results, it appears that the socio-cultural environment favors the illicit sale of the cashew nut.

In international commodity market coffee is the second most traded commodity next to petroleum. Ethiopia produces coffee Arebica and it is also widely believed that the country is the birthplace of the most cherished bean. Coffee has a great social, cultural and livelihoods importance for the majority of Ethiopian population, and it is tied to complex and strong socio-cultural settings. The country produces more than 30% of the total coffee production in Sub-Saharan Africa and it also consumes nearly 50% of the total production blended with complex socio-cultural settings.

One of the major outfits in teenage girl’s wardrobes includes skirts. It is very much physical and functional in nature. In today’s global Era, designing new garments has widened the scope of garment industry and also gives opportunity to designers to play with various designing elements in creating innovative garments. When we go through the society it is noticed that there is an increasing acceptability of denim amongst all strata of Indian society. The denim market is constantly re-defining and re-inventing itself with new designs, embellishments and cuts.

Background and Objective: Adiponectin gene single nucleotide polymorphism (SNP) in the exon 3 and intron 4 is a well characterized SNP which has previously been linked to various diseases including cardiovascular diseases. The association of this gene with cardiovascular disease (CVD) is studied in various studies , hence the present study was designed to investigate the association of SNP +45T/G and +276G/T in the AdipoQ gene in CVD patients with and without diabetes mellitus and normal controls in North Coastal Andhra Population.

Entity Resolution and unstructured Web has recently attracted significant attentions and usage of Block Chain is increasing to try to solve different problems as traceability. Entity Resolution can be defined as the process of identifying, matching, verifying accuracy and try to get to the same metadata definition of the Entity from several sources including the unstructured web and structured databases.

This study is attempted to examine the potencies and opportunities for development of agrotourism which is seemed from the aspect of central productive areas in province of Bali. Firstly, auther described the history of regional development for central productive areas where is one of the national development for agriculture in broadest sense. Second, auther described the central productive areas where are derived in several districts and city in province of Bali. and 10 years ago beginning in 2000-2010 each respective of excellence commodities and activity programs have been planned.

The target of this work was the detection of fault in engine through its sound using spectral analysis. The sound signals of three selected engine parts were examined using spectral analysis to detect the fault in Toyota 3B engine. These sound signals are sound from normal Toyota 3B engine, sound from faulty advanced engine and sound from faulty retarded engine in Toyota 3B engine. These all sounds have a unique spectral representation and have a unique sound which different from the normal engine sound.

The quest for the continued improvement of weld quality cannot be over emphasized. Hence, every good manufacturer is eager to find better ways to improve product quality. Research has shown that one of the practical ways to improve on weld quality is to optimize input process parameters. The aim of this study is to optimize and predict the Weld Penetration Size Factor (WPSF)of TIG mild steel welds using Response Surface Methodology (RSM), with the purpose of achieving optimum results. In this study, several sets of experiments were carried out.

Background: Nearly half of the world’s population are at risk of being infected with malaria parasite. In Ghana, 3.5 million people get infected with the disease every year and about 20,000 children die from it annually. Haematological changes associated with malaria have been reported but may vary due to age, gender, and demographic factors. Objective: This study seeks to analyse the effect of malaria on some common haematological parameters of children (1-14 years) and adults (>14 years) patients attending St. Patrick’s Hospital, Offinso, Ghana.

The objective of this paper is to justify the rationales of methodology that is used to investigate the practices of the informal entrepreneurship. First of all, review the previous methods, both direct and indirect, that have been employed to examine the practices of informal entrepreneurship.

The synthesis of five 1,3-enynes was performed and its activity against Gram-positive and Gram-negative bacteria was determined.

Dandoba hills which is also locally known as Dandakaranya is famous for the temple of lord Shiva. The vegetation of Dandoba hills is protected and declared as reserved forest by Forest Department, Govt. of Maharashtra. It represents mainly tropical dry deciduous forest and scrub jungle. The present study was conducted to observe richness of species. During the present work, over 106 species of dicotyledon were reported. Family Mimosaceae and Capparidaceae were the most dominant families.

The integrative review was the choice for the elaboration of this study, since it understands that this method allows the synthesis of completed researches and obtains conclusions from a studied phenomenon. This study aimed to identify nursing interventions described in the literature that contribute to the humanization of care to neonates in a Neonatal Intensive Care Unit (NICU).

The sumbala or African mustard, produced by traditional methods of fermentation of some protein and/or oleaginous seeds, is a food condiment used in West Africa. The variability of its organoleptic characteristics led to diversity of product and makes its more complex for characterization. Several studies have provided information on the process of this condiment production, it’s an important source of nutritional values as well as its nature and microflora properties. Organoleptic characteristics of this condiment were also reported.

Koi fish (Cyprinus carpio) is one of the very potential types of ornamental fish in East Java and has a high economic value. Aeromonas salmonicida is a bacterium that includes Quarantine Fish Disease and has spread on the island of Java. Various antibiotics are available on the market for treatment of these bacterial infections, however, only commonly used certain antibiotics. Continuous use of an antibiotic can spur bacterial resistance. This study was conducted to test the effectiveness of ciprofloxacin in the treatment of A. salmonicida infection.

Background: The neonatal period is recognized as a brief, critical time that requires focused interventions. Neonates routinely undergo painful invasive procedures even after uncomplicated birth. Treating procedural pain has become a crucial part of neonatal care. In the past it was believed that neonates do not feel pain because of incomplete myelination of peripheral nerves. This is no longer believed to be true, because myelination is not necessary for pain perception. Hence Pain among neonates is often underestimated and untreated, producing untoward consequences.

Introduction: Anemia is a major public health problem all over the world especially in developing countries. Anemia prevalence in young children continues to remain over 60% in most parts of India and Asia despite a policy being in place and a program that has been initiated for a long time. Objectives: • To estimate the prevalence of Nutritional Anemia in Under 5 children of block Hazratbal,district Srinagar. • To estimate the risk factors of Nutritional Anemia in Under 5 children of block Hazrabal, District Srinagar.

Background: Depression is a 'quiet crisis' facing diabetics, their families and their health care providers. Financially and emotionally this crisis is exacting a terrible cost. (1) The possibility of depression catising diabetes was first advanced in 1684 by Thomas Objectives: • To study frequency of depression among people with diabetes. • To study socio-demographic data associated with depression, diabetes, and their co-morbidity. Methodology: This case control study was conducted during the period from 1st June, 2005 to 30th march 2006.

An experiment was laidout during summer season of 2006-07 and rainy season of 2006-07 at Regional Research Station, Mainpuri, C.S. Azad University of Agriculture and Technology, Kanpur. The experimental soil was sandy loam with poor fertility status. The seventy five genotypes of groundnut were tested. The main objective was to findout the suitable genotypes for cultivation during summer season. The secondary objective was to work out the magnitude of yield reduction between summer season and rainy season cultivated groundnut.

Objective: The aim of this study is to perform analysis between self-fixating mesh and sutured mesh in open inguinal hernioplasy. Method: This study has been conducted in Aswan University Hospitals on 40 patients,the patients will be classified blindly into two groups each group include 20 patients Group A for self-fixating mesh and Group B for suture fixating mesh.

Objectives: The present study is designed to evaluate the antidiabetic activity of the ethanolic extract of the bark of Bischofia javanica (BJ) Blume (Euphorbiaceae). The study was conducted by using invivo alloxan induced diabetic model in wistar albino rats. The parameters that were used for the assessment of antidiabetic activity are liver glycogen and blood glucose levels. Materials and Methods: (Preparation of the Plant Extract): The leaves of the BJ were collected from Wayanadu, Kerala, India during October 2010 and was authenticated by Mr.

Fifty female patients at the reproductive age were subjected for evaluation and consultation at the infertility clinic. Their complete histories were recorded and included the type of infertility, duration, patient age, parity, gravity and menstrual abnormalities. For each, a general examination and special gynecological examination including concentration on evidence of Hirsutism, acne and obesity was considered.

The village government Landungsari create a public service website that www.pemdeslandungsari. com, The website contains content that support the implementation of online public services in the village Landungsari among family card-making services, ID cards, licenses Disorders and Birth Certificate. In this case, This study describes the challenges of implementation of Electronic Government in the Village Government Landungsari Malang.

Background: Low back pain is a common problem in pregnancy. Objective: The aim of this study was to determine the prevalence of low back pain during pregnancy and to delineate the factors associated with the development such symptoms. Material and Methods: A cross-sectional study was conducted on 178 pregnant women attended the gynecological wards and orthopedic wards in Alrefaee General Hospital, Iraq. From September 2016 to September 2017.

The study was conducted on 2 groups including patients group and control subjects group at the outpatient clinic of Ibn Sina teaching hospital in Mosul during the period between 1/11/2010 and 1/5/2011. The first group consists of 53 patients with chronic obstructive pulmonary disease (COPD), and the second group consists of 53 apparently healthy subjects matched for age and gender who denied respiratory symptoms were kept as control group.

Campylobacter spp. is one of the main bacteria that cause food borne illness. Many of these cases are caused by C. jejuni and C. coli, which are transmitted mainly by poultry. A cross-sectional study, conducted between March and July 2015, demonstrates the national frequency of Campylobacter spp. and the species C. jejuni and C. coli in broilers for human consumption using a simultaneous sampling design in three levels of Costa Rican poultry production chain.

Background: Mean Overall Index for Rheumatoid Arthritis (MOI-RA) is a new, continuous and feasible index to assess the impact on activity of daily living (which is the patient’s prime concern) so it could be useful in regular clinical practice for monitoring Rheumatoid Arthritis (RA) patients. Objective: Assessment of disease activity in Rheumatoid Arthritis using Mean Overall Index for Rheumatoid Arthritis (MOI-RA).

Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis complex. The disease most commonly affects the lungs, although other organs are involved in up to one - third of cases. In order of frequency, the extra pulmonary sites most commonly involved in Tuberculosis are the lymph nodes, pleura, genitourinary tract, bones and joints, meanings, peritoneum and pericardium. Despite effective treatment, tuberculosis can lead to significant short-and long-term health consequences.

Trigeminal neuralgia or tic douloureux, because of its varied clinical presentation and distressing nature, can be especially challenging to the dental practitioner. It is characterized by a sharp shooting pain that is most often unilateral and ipsilateral to the trigger point. The pain episodes are short in duration and abruptly arise and subside. This case series is an attempt to highlight the various clinical presentations of trigeminal neuralgia along with the brief overview highlighting the various differential diagnosis of the condition.

Background and objectives: Determining an accurate shade match is one of the most critical steps for cosmetic procedures. Shade selection for dental restorations is usually done visually by matching with a shade guide. Light from the shade sample enters the eye and acts on rods and cones in the retina. Impulses are then passed to optical centre of the brain, where the inferences is done. Different persons may make different execution of the same stimulus, and thus shade selection could become a subjective assessment.

A religious name is a type of given name bestowed for a religious purpose, and which is generally used in religious contexts. Different types of religious names may be in use among clergy of a religion, as well in some cases among the laity. Now consider the language picture of the world in general human cognition in the unity of the world model, and with the same conceptual view of the world is a philosophical and philological concept.

This study assesses the impact of some heavy metals on soils around the rice milling factory using indices such as geo-accumulation index and contamination factor while metal mobility was assessed using mobility factor. The results reveal that the dominant metal concentration were in the order: Fe > Pb > Co > Ni while Cd and Cr were below detection limit. The potential mobility of the metals within the soil was in the order: Co > Ni > Fe > Pb.

Seasonal variation on the effects of heavy metals (chromium and zinc) on the corrosion potential of Desulfovibrio desulfuricans and Desulfovibrio vulgaris on three metal coupons (stainless steel, mild steel and carbon steel) in Ndoni River was carried out for a period of one year between April 2017 to March 2018.The River is a fresh water ecosystem where sulphur reducing bacteria can be found.

Background: Urinary tract infections (UTIs) remain the common infections in outpatients as well as hospitalized patients. Extended Spectrum Beta- Lactamase producing organisms causing urinary tract infections (ESBL-UTI) are increasing in incidence and pose a major burden to health care. ESBL-producing E. coli have been isolated from both hospitalized and non-hospitalized patients. Current knowledge on antimicrobial sensitivity pattern is essential for appropriate therapy.

Objectives: Previously, we retrieved sixteen studied concerning celiac disease (CD) among at-risk individuals in Saudi Arabia (SA) involving five studies concerning CD among short stature (SS) individuals. We present a characterization and meta-analysis for these five studies. Methods: Data from the relevant studies were analyzed using the Statistical Package for Social Sciences (IBM SPSS Inc) and the Comprehensive Meta-analysis (CMA) program. This study was conducted at King Abdulaziz University, Jeddah, SA from March to July 2018.

Introduction: Globally 36.7 million people are infected with AIDS. India alone has 2.1 million patients with HIV infection. Oral Candidiasis is the most common opportunistic fungal infection. In HIV infection, the isolation of non-albicans from oral Candidiasis is on a rise. Hence it is necessary to identify Candida albicans as well as non-albicans species too. Method: The present study was undertaken on 100 patients to identify the isolates and correlate them to CD4+ lymphocyte count for the period of one year. KOH mount and Gram’s stain done for demonstration of yeast like cells.

Hydrolysis is one of the method used to produce levulinic acid. Before hydrolysis, the samples need to be pretreated to enhance the production of levulinic acid during hydrolysis reaction. Two different pretreatments, acid pretreatment and ultrasonic-assisted acid pretreatment were done followed by acid hydrolysis on oil palm mesocarp fibre (OPMF). For acid pretreatment, the parameter involved was temperatures (60 ⁰C, 80 ⁰C and 100 ⁰C) while the effect of sonication powers (40%, 60% and 80%) was investigated for ultrasonic-assisted acid pretreatment.

Power is the important infrastructure on which the socio-economic improvement of the country depends. The power transmission (PT) system is at the core of the power industry and which is vibrant to the development of India. As a result, it is crucial that electricity is readily available for the growth of infrastructure, economy and largely improved the quality of living of the people of the country.

This paper presents the experimental study on static behavior of Railway Prestressed concrete (PSC) sleepers Using Next Generation Nano Based Carbon Fiber Reinforced Concrete. The next generation nano based carbon fiber reinforced concrete is prepared using advance concrete materials such as GGBS, Silica Fumes, Carbon fibers, Polypropylene fibers and Carbon Nanotubes, (CNTs) integrated with High Performance Concrete having its compressive strength of 60 N/mm2. Five different PSC test specimens were casted viz. S1(M60), S2(M60+CNT), S3(M60+CNT+PF), S4(M60+CNT+CF) and S5 (M60+CNT+PF+CF).

The high cost of conventional building materials is a major factor affecting housing delivery in the world. This has necessitated research into alternative materials of construction. In this study, coconut shell is used as light weight aggregate in concrete. The properties of coconut shell and coconut shell aggregate concrete is examined and the use of coconut shell aggregate in construction is tested. The project paper aims at analyzing flexural and compressive strength characteristics of with partial replacement using M30 and M20 grades of concrete.

Employee engagement can be defined as the extent to which employees are motivated to contribute for the achievement of organizational goals. CSR is an inexorable factor that can act as a technique to promote Employee engagement and to influence the attitude and behavior of employee’s. The objective of the study is to identify the influence of CSR on employee engagement, attitude and behavior. The study was conducted at V-Guard Industries Limited at Vennala, Kerala.

The United States established the Intelligence Reform and Terrorism Prevention Act (IRTPA) of 2004 with the fundamental concept of improving information sharing within the Intelligence Community to boost its counterterrorism efforts in Homeland Security. The IRTPA of 2004 was established to enhance the communication channels among intelligence agencies, facilitate data exchange and analytic tradecraft etc. to reduce intelligence failures that could result to catastrophic terrorist attacks like the September 9, 2001 terrorist attacks.

Aim: The purpose of this research was to test whether nurse manager’s servant leadership behaviors correlated to the job satisfaction and turnover intention of staff nurses. Background: Distinguished nursing excellence is accomplished by leaders that inspire others to adopt behaviors that encourage service and performance. Method: A 58 Likert-type servant leadership questionnaire assessing managers’ behaviors, relative to job satisfaction and turnover intention, was completed by 283 nurses working at a Magnet certified, Level II trauma center.

The main objective of this article is to investigate Values, Beliefs and Systems Related to Lidara Indigenous security alliance and Conflict Resolution Institution among Sodo-Gurage, Libido-Mareko, Oromo, Meskan Gurage and Silte Ethnic groups in Southern Ethiopia. To attain this objective, the article employed both secondary and primary data sources. Both primary and secondary data were organized thematically and analyzed through systematic interpretation and triangulation of various sources.

This study aims to evaluate Filipino-value bound management functions among the middle-level managers of States University and Colleges at Region 8 assessing their strengths and weaknesses to enhance Filipino way of management. Filipino values are rarely studied because of the insufficiency of tools that can accommodate it. A descriptive-developmental method of research was used to assess three-hundred sixty-six (366) respondents from selected State Universities and Colleges. A two-part survey questionnaire was used as the main instrument to gather the needed data.

Introduction: Body weight perception refers to the personal evaluation of one's weight irrespective of actual BMI. Body perception does not always reflect reality and can be influenced by external factors. Methods: This paper explores the association between adolescents’ body perception, demographic characteristics and residential location using both binary and multinomial logistic regressions regression analysis to assess 1) perception accuracy, 2) the association between demographic characteristics and perception accuracy and 3) the relationship between perception and residence.

Introduction: The inflammation process is considered as a central factor with in the aspects that atherosclerosis. Several factors can affect the vascular inflammatory disease, such as dietary and metabolic patterns. Objective: to verify if there is an association between subclinical inflammation and dietary and metabolic factors in women with overweight. Methods: 66 women with overweight (BMI = 29±4,3kg/m2), sedentary with the age of 24±4.1 years. Lipid profile, insulin and C-reactive protein (CRP) were dosed after fasting. The nutrition survey was made through the 24-hour recall.

Background: Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder and its epidemiological aspects and psychiatric comorbidities have not been properly investigated in Al Ahsa city in the Kingdom of Saudi Arabia (KSA). The aim of the study was to explore the epidemiological features, personality traits and psychiatric comorbidity of IBS, among Saudi adult patients.

Background: Presbycusis is age-related bilateral sensorineural hearing loss, with course acceleration highly influenced by comorbidities including arterial hypertension (AH) and diabetes mellitus (DM). Two major diagnostic approaches used include pure tone audiometry (PTA) and audiometry brain-stem response (ABR).Comparative studies regarding change in PTA and ABR threshold without age limit and co-morbidities’ consideration have been published. However, literature has no reports regarding aforementioned concerns.

Background: Young old elderly are the individuals in the age of 65-74 years. Changes due to aging leads to increased static air trapping, work of breathing & decreases overall pulmonary function including Peak expiratory flow rate (PEFR). Due to these changes, specific body positioning can cause improvement or deterioration in lung function. There is no evidence of PEFR in different body positions in young old elderly individuals.

Background: Increased prevalence of anemia has been observed in adolescent, who are susceptible more often to nutritional anemia. Materials and methods: This retrospective study was conducted on 276 newly admitted MBBS students of Prime Medical College, Rangpur, Bangladesh. For this serum haemoglobin level, total count of RBC and RBC indices of each student were recorded from records preserved in Pathology Department of Prime Medical College. Results: Among 276 male and female students, 33.70% (93) were anemic.

Aim: To assess the association of personality traits with oral tumours. Materials and methods: The sample comprised of 215 patients, attending outpatient department of a dental tertiary referral center of south India. Case and control - comparative cross sectional study was designed. Cases consisted of subjects (105) diagnosed with tumour of the oral cavity. Controls consisted of subjects (110) who do not have any tumour at the time of screening for oral diseases.

Dental handpiece is one of the indispensible instruments in dental office required for the efficient accomplishment of a multitude of dental procedures like cavity preparation, tooth preparation for esthetic and prosthodontic procedures, polishing and prophylaxis, implant site preparation and placement. Adherence of dentist to the maintenance and sterilization protocols of handpieces has become inevitable not only to ensure their efficient functioning and longevity but also to prevent cross-infection and cross contamination amongst dentists and patients.

Introduction: The present study was conducted to understand changes in mean area of nasopharynx, hyoid triangle and position of hyoid bone in patients with retrognathic mandible after functional appliance therapy. Methods: Fourteen Class II malocclusion subjects in growing age with mandibular retrusion were selected. Mandibular retrusion in subjects was corrected by functional appliance therapy. Effect of functional appliances on nasopharynx and hyoid bone dimensions were evaluated from lateral cephalograms recorded before and after appliance therapy.

Background: The presents situation in Iraq is dominated by violence, looting, kidnapping, torture, or murder. This had created an extremely threatening and traumatizing atmosphere for the whole population and especially children. Objectives: To determine the PTSD among primary school children in Baghdad. Method and Sampling: Across sectional multi stages sample survey of 600 respondent aged 6-15 years had been contacted in Baghdad during Jan and Feb.2006, sixteen schools were involved with 37-38 children represent each school.

Background: The causes of obsessive compulsive disorder (OCD) are yet unknown. Evidence of familial aggregation is one approach for investigating the role of genetics in the etiology of this condition. Objectives: To determine the rate of obsessive compulsive disorder (OCD) among first degree relatives (FDRs) of both probands &control group of a sample of psychiatric outpatients with OCD & their sociodemographic characteristics.

Background: Multiple sclerosis is a chronic autoimmune disease of the central nervous system, characterized by inflammation, demyelinization and axonal injury. The current therapeutic strategies include: disease-modifying, immunomodulatory and immunosuppressive agents (Mitoxantrone). Immunomodulatory drugs are Interferon β, Glatiramer acetate, Leflunomide, Teriflunomide, Fingolimod, Laquinimod (with dual properties of immunomodulation and neuroprotection).

Background: The study was conducted to evaluate the protective effects of Spironolactone (25mg OD) along with Ramipril (5mg) on diabetics (30-70yr) in relation to proteinuria and state of Diabetic Nephropathy. Material and Methods: A comparative, prospective, non-randomized, non-blinded experimental study was conducted on 32 patients (30-70yr) of diagnosed Type 2 Diabetes Mellitus showing proteinuria. Total duration of study was about one year from October 2017 to October 2018. Subjects were followed over 12 weeks and baseline and 12-week Urine ACR being compared.

Turbulence Laser medicine (TLM) is a non-invasive photodynamic therapy, which is characterized by a turbulent acceleration of the photobiomodulation in the human body, thus achieving excellent healing effect for short periods of time. The author is presented a new approach for Laser Dental Education based on Biological Medicine principles.

It is widely viewed that fostering bioethics among members of the nursing profession is of profound importance due to increased progress of medical science and technology and lack of awareness about bioethics among undergraduate students which has rendered prior views of ethics insufficient for health care professionals. As the student nurses are the future professional nurses, so their foundation of bioethics needs to be laid at the preliminary level as they reach the actual clinical practice. This way they can take nursing profession at the highest level of perfection and standards.

Since independence of Nigeria in 1960, the country has been experiencing a high degree of mismanagement of resources particularly in the area of public procurement. There have been existing open abuses to rules and standards in the award and execution of public contracts in Nigeria. Sustainable procurement means appreciating and managing social, ethical, safety, environmental and economic value associated with the supply chain and materials selection. Improving procurement performance helps to establish “purchasing social responsibility.

Introduction: Male infertility is a serious problem in developing world where genetic and epigenetic factors play a crucial role in the pathogenesis of the disease. The rationale behind the present study to understand the genetic basis of male infertility, to identify the “novel gene mutation” and also asses the frequency (%) of microdeletion of Y-chromosome i.e. deletion of AZF regions interfare during spermatogenesis.

Anterior teeth are quite vulnerable to traumatic injuries and are very common among all age groups resulting in plethora of problems from simple crown infarctions to avulsion of teeth. A crown root fracture of the anterior teeth mainly affects children and adolescents; one of the main reasons is due to increased outdoor sports and recreational activities. Salvaging the fractured teeth through reattachment should always be the priority of the treating clinicians if the fracture segment is available without compromising the periodontium.

Mandibulectomy is a procedure that is used to eradicate disease that involves the lower jaw or mandible. Surgical resection of mandible owing to benign, malignant neoplasm, and osteoradionecrosis is common. The resection can be total or segmental depending on the extend of the lesion.

Background: Hysteroscopy is gold standard procedure for uterine cavity evaluation (1). There are many randomized controlled trials on technical feasibility and patient compliance demonstrating that the procedure is well tolerated and effective in treatment of intrauterine pathology. Objective: To review the role of hysteroscopy in evaluation of infertility. Method: The study group includes 100 infertile women presenting to OPD during the period January 2017 -July 2018. This retrospective study was conducted at Department of Gynecology in AIIMS Patna.

Sexual orientation is a term that describes a person’s sexual, emotional, or romantic attraction, as well as the gender of the people they are attracted to. Bullying is unwanted, aggressive behavior among school aged children. Bullying can lead to low self-esteem, poor health, substance abused, self-harm, and suicide which is define as the act or an instance of taking one’s own life voluntarily and intentionally. The purpose of this research is to understand the effects that bullying has on the suicide rate among adolescent LGB in Florida.

Breast cancer is the second commonest cancer worldwide in 2008 (1.4 million new cases: 11% of all global cancers and 360,000 deaths) and the commonest potentially fatal cancer of women (Stuckey 2011). Breast cancer incidence has been increasing worldwide for decades, and there is currently a greater than 4-fold variation in age-standardized incidence rates between countries with the lowest (East and Southern Africa) and highest (Western Europe, North America and Australia/New Zealand) incidence (Stuckey 2011).

Obesity was formally recognized as a disease by the American Medical Association in 2013, with several other professional organizations worldwide following suit shortly thereafter (Bray, Kim, & Wilding, 2017). Obesity is a multifactorial disease that results from physiological, genetic, and environmental components acting together (Skolnik & Ryan, 2014) and is associated with several comorbidities, including type 2 diabetes mellitus (T2DM), cardiovascular disease, musculoskeletal disorders, obstructive sleep apnea, and several types of cancer.

We present the case of a 63 year old woman from Bangladesh, who presented with history suggestive of gastric outlet obstruction for 1 year and melena for 2 weeks. She was previously treated at her hometown for pancreatic pseudocyst. At presentation she was cachexic, anaemic and icteric. She was diagnosed to have a gastric antral polyp causing gastro-duodenal intussusception. This caused gastric outlet obstruction (GOO), obstructive jaundice and pancreatic duct dilatation.

Neoplastic lesions of the oral cavity mostly need surgical treatment which requires resection of the tongue, floor of the mouth, part of maxilla and mandible. Mandibulectomy & radical neck surgery involves the comprehensive loss of tissues and affiliated functions. So the rehabilitation of such patients is more challenging as there are many limitations like limited tissue coverage and retention, deviation towards resected site, loss of control on mandibular movements that alters the normal function.

An increasing number of patients have become aware of the detrimental effects of periodontal disease and tooth-loss and they seek periodontal care. The cornerstone of management of chronic periodontitis is the non-surgical periodontal treatment. The primary goal of periodontal therapy is to preserve the natural dentition by achieving and maintaining a healthy functional periodontium. Many adjunctive treatment modalities have been introduced lately to enhance the therapeutic outcome of periodontal treatment.

The Doodabedda is one of the highest peaks in the Nilgiris. A total of 37 bird species were had from twelve transects in the Doddabedda study area during the study period from November 2017 to October 2018. The highest Encounter Rate was recorded in the house sparrow (Passer domestics) ER= 23.41 (LER 17.8 & UER 26.31). The lowest Encounter Rate was observed in the Eurasian black bird (Turdus merula) ER=0.13 (LER 0.03 & UER 0.18). The other species were noticed the moderate encounter rate of population. A total of 37 species it consisting of 11 orders and 27 families, were recorded.

The distribution of Indian Peafowls in the Meghamalai forest area was studied in all the available habitats. The habitats includes southern dry deciduous scrub forest (SDSF), southern dry mixed deciduous forest (SDMDF), southern moist mixed deciduous forest (SMMDF), southern sub-tropical hill forest (SSTHF) and Miscellaneous and plantation forests (MISC+PL). The overall encounter rate of Indian peafowl in the study area was 1.86/km walked. The highest encounter rate was estimated in the SDSF habitat (ER=3.5/km walked).

The paper finds Okun’s coefficient for Kenya to be 0.12 over the period 1991-2012, instead of 0.3. This implies that to reduce unemployment rate in Kenya by 1 percent, real GDP must grow by at least 10 percent. Given the real GDP targets for the period 2012-2018, it is feasible for Kenya to achieve 4 percent unemployment rate in the 5 years but if the economy continues to consistently grow at 4.6 percent realized in 2013 it will take at least 10 years to achieve it that is by 2022.

The bacteria constitute a group of highly diverse microorganisms that play important roles in the environment, having a versatility in the production from multiple molecules, among them the enzymes that have wide use in biotechnology. Hydrolytic enzymes are widely used in different processes in industries as pharmaceuticals, textiles, food and biofuels, such as proteases, pectinases, lipases, asparaginases, cellulases, among others.

This investigation has permitted us to come to the conclusion that the INSTAT+3.37 and CROTWAP8.0 methods of computation of the evapotranspiration are coherent in Guinea Bissau. Therefore, they can be quietly introduced in operative works in the country. The best period of cultivation period is very short in Bafata, approximately 50 days. Consequently, irrigation is unavoidable there as the vegetative cycle of many agricultural species is around 90 days.

The environmental and economic concern is the biggest challenge concrete industry is facing. Advancement in utilization of wastes in concrete as a mixture reduces pollutants in environment and maximizes usage of natural resources( Shreekantet al., 2016). During the production of cement CO2 is produced from clinkerizationwhich causes global warming (Andrew, 2018). By reducing clinker consumption environment can be protected(https://www.wbcsdcement.org).

The objective of this study was to determine whether painted lady caterpillars, Vanessa virginiensis, exhibit trail following behavior via a pheromone. We conducted 450 trials with caterpillars in a T-maze. For a control treatment, we did not expose caterpillars to pheromones in either arm of the maze. For two experimental treatments (trail treatment and extract treatment), we left one arm untreated, and we treated the other arm with natural pheromones (trail treatment) or pheromone extract (extract treatment). We recorded the arm choice of each caterpillar.

The potential of three biopesticides (Biofor-PF-2,Biozine-PTBandBiogreen-5)of Assam Agricultural University to provide protection against root penetration of infective juvenile of Meloidogyne incognita race 2 on King chilli was assessed in pots in net house condition. All the biopesticides were found to reduce the nematode penetration to various levels. Soil application with Biogreen-5 was the most effective of all the tested products in preventing juvenile penetration by up to 69.7 per cent, 6 days after inoculation with nematode compared to that in untreated check.

Background: Mosquito control has been facing problem mainly because of the development of resistance to chemical insecticides. Hence research on plant-based bioactive insecticides as parts of integrated vector management have received renewed attention. In this regard the present study was undertaken to assess the larvicidal, ovicidal and oviposition deterrent activity of different solvent extracts of Dalbergia oliveri leaves and Heracleum rigens seeds against Culex quinquefasciatus, the Filariasis vector in India.

Arcobacter and Campylobacter genres are pathogenic microorganisms associated with gastrointestinal diseases and their main transmission route is through food and water. Both genres have been strongly associated to poultry, these animals have been signed as reservoirs and contamination sources. Due to this characteristic, industries associated to poultry production had to establish control measures for these bacteria, being hygiene and disinfection one of the most important ones at processing plant level.

Brazilian’s native forestry species usually present a slow development. The demand for commercial production of seedlings from those species is rising due to its use on afforestation programs. Making necessary the development of techniques that reduce the time required to seedling production. Pterocarpus rohrii is an important Brazilian native species with some potential economic uses, but with rare publications about its technologic or biological characterization.

This paper puts forward a linear erosion control measure in an area degraded by gully by means of implanting barriers of bamboo fiber. The pin method was applied in order to analyze the efficiency of this methodology. An estimate of soil loss was calculated from the variation in the soil levels in the experimental plots to consider this variation, the area of the experimental plots, and the soil density.

In modern agricultural practices recommendations were made to apply synthetic fertilizers in tea plantations. Five splits of fertilizer applications were done every year coinciding with wet seasons in plantations. Plants did not utilise the applied fertilizers completely for their growth and development, the required amount of nutrients plants uptake and the rest of its requirement is met by the activity of population of soil microflora to solubilise the unavailable form. Continuous application of chemical fertilizers is harmful to the rhizosphere microorganisms.

In this paper we discuss about Near product cordial labeling graphs on Book graphs. If the labeling in the graph satisfies the condition of Near product cordial then it is called Near product cordial graphs. In this paper we have proved that the above mentioned graphs are Near product cordial graphs Except B+K1.It is not Near product cordial for both even and odd rectangular pages but for Triangular Book and Pentagonal Book it is not Near product cordial when t is odd.

In this paper we discuss about Near product cordial labeling graphs on path graph and its corollary then < Cn : Cn-1 > , S(Cn). If the labeling in the graph satisfies the condition of Near product cordial then it is called Near product cordial graphs.In this paper we have proved that the above mentioned graphs are Near product cordial graphs and except (S(Cn)) which is Weak Near product cordial labeling of the graph.

The experiment was conducted in an extensive breeding of dairy cows in Ghineh-Mount Lebanon in order to identify the effect of zinc methionine supplementation on milk production affected by subclinical mastitis. The animals were divided into 2 groups; the first group was non supplemented (control ZM-, n=7), while the second was supplemented with 4 g the first month (June) before doubling the dose to 8 g of Zn-methionine/head/day the next month (July) (experimental ZM+, n=7).

Biomedical signal is a collective electrical signal acquired from any organ/system that represents a physical variable of interest. This signal is normally a function of time and is describable in terms of its amplitude, frequency and phase. The Electromyogram (EMG) signal is a biomedical signal that measures electrical potentials generated in skeletal muscles during its contraction representing neuromuscular activities. The nervous system always controls the contraction/relaxation.

One of the observed common reinforced concrete (RC) structural failures during recent earthquakes is column shear failure. When the stiffness and associated strength are abruptly reduced in a structure along the height, earthquake-induced deformations tends to concentrate at the flexible and/or weak storey. The concentration of damage in a storey leads to large deformation in vertical members. The excessive deformation in vertical members often leads to the failure of these members and the collapse of the storey.

The aim of this study is to investigate the natural radioactivity levels and possible hazards in floriculture soils. The observed results were compared with the same study done for Virgin land and Agricultural farm land, from same study area, Holeta, Shoa, Ethiopia. The radioactivity concentration of 238U, 232T h and 40K were determined using gamma-ray spectrometry with NaI (Tl) detector. Moreover, the elemental concentrations, Req, DR, ADR, Hex and Hin were calculated. The results were compared to international standards, soil-375 and soil-6 given by IAEA.

The adsorption potentials of Senna occidentalis Seeds (SoS) Activated Carbon (AC) on the removal of Congo red dye from aqueous solutions has been studied by employing equilibrium adsorption technique, adsorption isotherm and kinetics models. The equilibrium adsorption parameters varied were initial dye concentration, carbon dosage, contact time, pH and temperature. Langmuir, Freundlich and Temkin were chosen as the isotherm models while pseudo first-order, pseudo second-order and intra-particle diffusion were chosen as the kinetics models.

Background: Egg shells take a year to decompose but are known to keep pests at bay. They contain many basic amino acids like cystine in reasonable quantities. Cystine being a dimer of cysteine contains a disulphide bond. This could be used as a source of sulphur. Objective: Our aim was to extract sulphur and carry out various tests to check the presence of both sulphur and calcium in egg shells. Using this knowledge the efficacy of calcium and sulphur as fungicides could be postulated.

Employee performance quality in carrying out his duties with transformational leadership. Employee performance. The transformational leader becomes central figure of the achievement. Leaders are expected to be able provide motivation, direction, role models and even influence for all citizens jointly achieve achievements. In running the wheels of the organization, charismatic leaders are needed and have a central role and strategy bringing the organization to achieve its goals.

The study sought to assess the contribution of universities on socio-economic transformation of neighboring communities, taking a case of Bishop Stuart University and Mbarara University of Science and Technology in Mbarara Municipality. Using a mixed design, and being largely qualitative, the study utilized interviews with key informants, FGDs, observations and documentary reviews to collect data from a total of 56 respondents. Data was analysed by using thematic and content analysis as well as quoting verbatim narrations from respondents.

Background: Type 2 Diabetes Mellitus has been proved to increase the risk of bladder cancer among diabetics, yet studies in Nigeria are scarce. Objectives to Aim: To determine the prevalence of urothelial cell cancer and assessment of Diabetic patients who attend clinic at University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu southeastern Nigeria. Materials and methods: Ethical clearance and informed consents were appropriately obtained.

This study dealt with analysis of the Grade 10 EFL textbook in terms of the degree to which the reading activities accommodate reading strategy training. Direct and indirect reading strategies were criteria of analysis while items/questions in the reading activities were units of analysis. The frequencies of each criterion in the checklist were added and changed into percentage to establish their level of existence based on Yudoleksono, (1999) and Alharbi (2015) model which is 0-25% poor, 26-50 fair, 51-75 good, and 76-100 excellent.

Background: Type 2 Diabetes Mellitus has been proved to increase the risk of bladder cancer among diabetics, yet studies in Nigeria are scarce. Objectives to Aim: To determine the prevalence of urothelial cell cancer and assessment of Diabetic patients who attend clinic at University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu southeastern Nigeria. Materials and methods: Ethical clearance and informed consents were appropriately obtained.

Performance appraisal being a vital part of any organization has undergone a lot of refinement. The refinements have been made keeping in view the changing needs and habits of both the employer and employee. The paper focuses on the various performance appraisal systems propounded in the past and also those adopted by the organizations in the past and present. The organizations are presently working in a dynamic and competitive work place.

Aims: To evaluate efficacy and safety of drugs in patients of rheumatoid arthritis (RA) and their impact on quality of life. Materials and Methods: Newly diagnosed patients of RA were included in the study [Group A=Methotrexate (7.5 to 25 mg) orally + Hydroxychloroquine (200 mg) orally& Group B =Methotrexate (7.5 to 25 mg) orally + Hydroxychloroquine (200 mg) orally + Prednisolone (1 mg/kg/day and then tapered to maintenance dose 7.5 mg/day) orally] and followed up for a period of 6 months after enrolment.

Aim of study: To study perinatal transmission in PLWH delivered in last five years at C. U. SHAH medical college and hospital surendranagar. Result: In this study, out of 50 PLWHA patients, one infant was infected, 20% of them were breastfed, 36% were delivered by caesarean section, 56% were delivered by vaginal delivery, 8% were instrumental (6% vaccum assisted and 2% forceps delivery). Among them all mothers and infants were given treatment.

Violence and insecurity in Acapulco, Mexico have perpetrated a devastating and terrifying image on tourist flows. The panorama of organized crime has not only affected the region's dynamic economy and competitiveness, but also deteriorated the perception of tourists. The objective of the research is to identify the reactionary measures taken by issuing destinations, and how they have contributed in generating the perception of insecurity.

Background: The benefits of tracheostomy are not without associated complications and risks. The increasing use of tracheostomy has resulted in parallel increase in complications. Meanwhile little emphasis is given in medical and nursing instruction on post operative management to reduce the complications. Material and methods: This study was carried out at dr ulhas patil medical college and hospital jalgaon. The total number of patients included in the study were 130 of all ages including both males and females. The tracheostomy was done for various indications.

The Services sector is one of the most important sectors of the economy of every nation. In Nigeria, IT contributes more than half of the GDP and has substantial share in the country’s exports and employment. The objective of this paper is to empirically examine the effect of crude oil revenue on the service sector growth in Nigeria between 1981 and 2017. Time series data were sourced from secondary sources on Service Sector Growth (SEV), Labour (LAB), Capital (CAP) and Crude Oil Revenue (COR).

Bread wheat plays a significant role in the national economy and food self-sufficiency. The marketing system and channels differs for different areas. Production of bread wheat by smallholder farmers of the lemo district is mainly for market which is the most important and widely known cash crop of the area but there was lack of properly functioning marketing system and this often resulted in lower producers’ price. Therefore, this study focused on identifying bread wheat market chain actors and their channels and factors that affect the volume of wheat marketed.

The electrical resistivity sounding (VES) and magnetic profile methods are the most popular and the cheapest geophysical techniques. But the electrical resistivity sounding methods are more efficient for shallow deposit (sedimentary stratified layers) and not for the shallow and deeper volcanic rock horizon to delineate the bed rock due to erratic data and its electrical equivalence limitation. Here in this paper, It is attempted to show how magnetic profile could help the electrical resistivity sounding investigation.

The main purpose of this descriptive study was to find out grade nine students’ and teachers’ attitude towards learning and teaching English in group work modality and related factors to their attitudinal problems with reference to some selected secondary schools of Hawassa City Administration in Ethiopia; the secondary schools selected were Addis Ketema and Alamura and these schools were selected purposefully.

Goods and Services Tax or GST known as the biggest game changer for the Indian economy. Almost 160 countries have implemented GST so far. However, the thought of GST in India was rooted way back by Vajpayee government in 2000. The Finance Minister in his budget speech of Budget 2015 has announced time and again that the tax will be introduced on 1 April, 2016, however it came into existence in the year 2017 on 1st July.. VAT or Value Added Tax was first introduced in France somewhere in 1954.

Folk art is a higher form of culture in comparison to primitive art. The needs and peculiar problems of the village people's life find an expression in folk art. While satisfying the needs of the people, folk art attains a certain aesthetic level. Folk art is divided into two classes, Viz. hand-made figures and moulded figures. The hand-made type is of a primitive pattern. Heads, eyes, eye-brows, lips etc of the figures are shown, but the legs are left out. In the moulded type a full human or animal figure is fashioned. Folk art although dwindling, is still a living reality in Odisha.

The issue of person organization fit has been considered as one of the paramount research areas in organizational behavior. Various research undertaken in the area have indicated that the extent to which the abilities and values of individuals fits with the demands of the job environment greatly affects employees commitment and their intention to continue working in a given setting. The current study was initiated in view of assessing the interplay between P-O fit and turnover intension of academic professionals in academic institution, by taking evidence from Hawassa University.

The purpose of the study is to explore the customary traditional recreations of the Mawiang, one of the classified sub-tribes under the Khasi tribal division resdiding within one of the twenty petty Khasi states called Hima Mawiang, characterised by traditional chieftainship or Syiemship as the ultimate leadership in ruling the state. The study also aims at examining the concept of utility of recreation in the life of sub-tribe under study. The study is conducted based on a firmed conceptual background and suitable research methods are used in order to obtain a desired outcome.

Background: Alcoholism causes harm to the well-being and health of the person and also he family. Spouses are mostly affected because of the intimate nature of the relationship. Studies on the impact on spouses have been very less in psychiatric literature. Objective: 1. To evaluate the frequency and nature of psychiatric morbidity in wives of patients with alcohol dependence syndrome. 2. To study the relationship between psychiatric disorders of wives with the severity of alcohol dependence.

Objective: The objective of this study was to compare the sorption of heat-cure and self-cure acrylic resins in different solutions. Materials and Methods: Two groups of material are used with the samples of self cure and heat cure.

Ketamine in two different doses (1 mg/kg and 2 mg/kg IV) after diazepam 0.2 mg/kg IV was administrated to 100 females for minor obstetric and gynecologic procedures after premedication with either atropine 0.01 mg/kg i.m. or with atropine 0.01 mg/kg and promethazine 0.5 mg/kg i.m., anaesthesia was satisfactory and mild but clinically insignificant respiratory depression was observed in all the four groups. Addition of promethazine to the premedication significantly reduced the postoperative nausea & vomiting as well the emergence delirium (P < 0.05).

Background: Naso Alveolar Moulding (NAM) is an effective and successful procedure enabling the presurgical approximation of the alveolar segments to increase the overall procedural success in cleft lip/palate (CL/P) cases. Even though it has become routine at certain centers in western countries, the preference still remains evasive in India. Objectives: The study aimed at assessing the preference for NAM among the CL/P surgeons in India and evaluating the technical considerations in the fabrication of NAM appliance.

Background: Acute appendicitis is one of the most common cause of surgical abdomen requiring emergency surgery, with a life time incidence of about 6% to 8%. One of the most important steps in appendectomy procedure is closure of appendix stump. In laparoscopic appendectomy extra corporeal or intra corporeal knotting are used for stump ligation. Harmonic scalpel is an energy device that can be used to deal with appendicular stump. Materials and Methods: This prospective randomized comparative study was conducted in Post Graduate Department of Surgery, Government Medical College Jammu.

Background and Objectives: This study was aimed to identify the distribution patterns of ABO and Rh-D blood group among the women hospitalized in our hospital Pio X, during the years 2009-2018 in order to observe the new distribution in the Milan population. Materials and Methods: We collected and analyzed 13223 blood samples and evaluate the distribution of ABO and Rh (D) antigens also by ethnic groups.

Recently, internet and social networks in Toamasina’s people life change deeply their view and their conception of mental illness that as at a long time ago, considered within our customs and traditions as pain inflected by ancestors. Our objectives are to be able to fight against the prejudices of psychiatry in Toamasina, to be able to break the barrier between several ideologists, to go further towards a psychiatry centered on more modern and adapted care.

Background: Head and neck cancer is a major problem that occurs in Asia. Increasing incidence and lack of improvement in prognosis of oral cancer and pre cancer in Indian population necessitates in depth probing of various etiological and contributory factors for its early diagnosis and prognosis. Various studies have focused supporting an association between Candida species and oral neoplasia. Objective – This study was conducted to assess the prevalence and correlation of Candida organisms in leukoplakia, oral cancer and healthy control group.

Background: Head and neck cancer is a major problem that occurs in Asia. Increasing incidence and lack of improvement in prognosis of oral cancer and pre cancer in Indian population necessitates in depth probing of various etiological and contributory factors for its early diagnosis and prognosis. Various studies have focused supporting an association between Candida species and oral neoplasia. Objective – This study was conducted to assess the prevalence and correlation of Candida organisms in leukoplakia, oral cancer and healthy control group.

The authors are commenting on the article entitled “Central serous chorioretinopathy in elderly subjects: angiographic and tomographic characteristics” published by Bae et al. in Graefes Archive for Clinical and Experimental Ophthalmology 2019; 257(2): 279-288. Published online December 18, 2018.The authors concluded that central serous chorioretinopathyin elderly patients was associated with a lower resolution of serous detachment of the neurosensory retina, increased impairment of retinal pigment epithelial layer, foveal thinning, and worse visual outcome.

Central odontogenic fibroma is a mesenchymal odontogenic tumor comprising less than 5% of all the odontogenic tumors. This tumor tends to occur in a wide age range with no gender predilection. Several attempts have been carried out by various authors to simplify and classify this benign tumor. The rarity and lack of specific clinic and histologic criteria have rendered the diagnosis of this tumor challenging. Also, the clinical and radiographic features mimics several other odontogenic and non-odontogenic entities. However, a biopsy is mandatory to diagnose this type of odontogenic tumors.

Background: For pre-surgical assessment of an adnexal mass, the International Ovarian Tumor Analysis (IOTA) ADNEX model can be used by medical doctors to diagnose ovarian cancer in women who have at least one persistent adnexal and estimates the probability that an adnexal tumor is benign or malignant. Objective: To study the value of the international ovarian tumor analysis (IOTA) in differentiation between malignant and benign ovarian tumor.

Background: Diabetes mellitus (DM) is a worldwide disease, and the prevalence is increasing particularly in developing countries. Individuals with undiagnosed Type II diabetes are at increased risk of developing coronary artery disease, stroke and peripheral vascular disease. Lip prints and fingerprints being genetically determined may serve as one of such biomarkers. The analysis of lip prints and fingerprints are simple and noninvasive when compared with biochemical tests for Type II Diabetes Mellitus.

Obscure gastrointestinal (GI) bleeding accounts for approximately 5% of all GI bleeding and is defined as bleeding from an unknown source that persists or recurs after negative endoscopic diagnostic evaluation.

Introduction: The retromolar canal normally arises from the mandibular canal behind the third molar, and travels antero-superiorly to the retromolar foramen (RMF), which is located within or around the retromolar triangle. RMF permits the passage of vascular-nerve bundles that contribute to nutrition and innervation of the pulp and periodontium of mandibular molar teeth.

Esthetic dentistry has shown much advancements in material and technology over time. Microleakageis one of the common factors affecting the integrity of tooth-restoration interface. Hence, the idea of study was to know which of the restorative materials were to be used in clinical practice for deep Class II restorations.

Background & Objective: Prematurity and low birth weights are the important risk factors for Neonatal and Infant mortality. It is not possible to weight significant proportions of newborns in rural areas of many developing countries, mostly due to unavailability of weighing scales. These low birth weight newborns, even if they survive, they used to suffer from long term disability such as malnutrition or gross developmental delay.

Objective: To determine the maternal and fetal outcomes in mother with gestational diabetes mellitus attending antenatal clinics in VIMS, Pawapuri. Design – This was a cohort study. Participants – (ninety) 90 mothers with gestational ages between 24 – 32 weeks were recruited from may 20 15 to Feb 2016. They were followed up to the time of delivery. The WHO criteria for the diagnosis of gestational diabetes was used. Thirty mothers with a 2 hours’ postprandial capillary blood sugar more than 140mg /dl were the expose group & mothers with <140mg/dl were the unexposed group.

Introduction: Endometrial cancer is the most common gynecologic cancer and the fourth most frequently diagnosed cancer in women in the United States. According to 2018 cancer statistics, the estimated number of newly diagnosed cases is 63,230, with a probability of 1 in every 35 women (2.8%) developing it during her lifetime. To date, there is limited knowledge of endometrial cancer in Kashmir India. Objectives: The aim of the present study was to analyze the demographic spectrum of endometrial cancers in Kashmir valley.

Treatment of male urethral trauma is always a challenging problem. In India, as the incidence of urethral trauma keeps rising, more and more studies relating to this are being published. To compare the outcome of different emergency treatments in India and other countries, we searched Indian and English literature about this topic in the past 10 years. Based on the analyses, surgical methods include open realignment, endoscopic realignment and primary repair, and we summarized and compared the success rate and complications (mainly erectile dysfunction and incontinence) of each method.

As depression is a state of pathological sadness which causes disability especially in adolescents, our objective is to determine the factors involved in depression among high school students in Antananarivo in aim to improve their care. This descriptive study was conducted in four high schools in Antananarivo, for the second and first grade classes of the school year 2017- 2018. Depression was evaluated by the Major Depression Inventory for Children. Data was analyzed by using the software Epi info 7, with a significance threshold p at 0.05.

Acute subdural hematoma (Acute SDH) and cerebral contusion that occurs following trauma carries higher morbidity and mortality in spite of recent developments in neurosurgery. Emergency surgical interventions without delay and proper ICU care are necessary for favourable clinical outcome. Aim: In the present study, we evaluated the patients admitted with head injury and analysed the outcome of the patient who diagnosed and operated for Cerebral Contusion and Acute Sub Dural Hematoma at various locations of brain.

Pulp vitality is very important for tooth viability, as it provides nutrition and act as alarm to detect pathogenic stimuli. Regenerative endodontic procedures aim at regeneration of pulp and dentin of the affected teeth. The aim of this review is to add a new prospect in regenerative endodontic therapy by using platelet-rich plasma (PRP) and platelet-rich fibrin (PRF). PRP and PRF have an intimate assembly of cytokines, glycan chains and structural glycoproteins which are enmeshed in polymerized fibrin network, and have the potential to accelerate soft and hard tissue healing.

Non-Hodgkin’s Lymphoma belongs to group of lymphoid neoplasm, which may be a presenting symptom in HIV patient who is immuno-compromised. The close association of NHL with HIV infection is formally recognized by the fact that NHL is designated as an Acquired Immuno Deficiency Syndrome defining condition. Oral involvement primarily is not so common in these patients but if involved, they often involve gingiva or palatal region. Here we report a case of Non Hodgkin Lymphoma (NHL) with HIV who presented with primarily involvement of palate by NHL.

Introduction: Orthopedic surgery has a particularly hazardous work environment in which surgeons are at increased risk for exposure to infections, radiations, smoke, chemicals, excessive noise, musculoskeletal injuries, as well as emotional and psychological disturbances. Here we are only going to focus on the exposure to radiation while operating and what precautions to be taken. The purpose of this study is to evaluate the knowledge levels of orthopedic surgeons about exposure dose and possible risks of fluoroscopy.

Neoplastic lesions of the oral cavity often requires surgical treatment involving resection of the the mandible, floor of the mouth, tongue and also the palate depending upon the extent of lesion. These cases, often lead to mandibular deviation. Which occurs due to loss of continuity of mandible and its related muscles. Altered muscle function will clinically result in functional compromise, facial asymmetry causing significant esthetic deformities ultimately leading to psychological breakdown.

Aim: The aim of this in-vitro study was to evaluate and compare the fracture resistance of endodontically treated teeth restored with three different types of fibre-reinforced composite post systems using two different types of luting cements. Settings and Design: This was an in vitro study. Materials and Method: Ninety extracted intact human maxillary central incisor teeth were selected for the study.

Corticotomy found to be effective in accelerating orthodontic treatment. The most important factors in the success of this technique is proper case selection and careful surgical and orthodontic treatment. Corticotomy facilitated orthodontics advocated for comprehensive fixed orthodontic appliances in conjunction with full thickness flaps and labial and lingual corticotomies around teeth to be moved. It is an established and efficient orthodontic technique that has recently been studied in a number of publications.

Introduction: Poisoning is one of the most common medical emergency presenting to the hospitals in developing countries. Kashmir has high incidence of poisoning cases. According to WHO, three million acute poisoning cases with 2, 20,000 deaths occur annually. Of these, 90% of fatal poisoning occurs in developing countries particularly among agricultural workers1. It was estimated that almost 50,000 people die every year from toxic exposure in India2.

Female genital tract tuberculosis is one of the leading causes of infertility in developing countries like India. The crux is identifying the symptoms, timely investigations and proper management. It mimics ovarian tumours in many cases as described below. Different diagnostic modalities with clinical co relation may help in appropriate diagnosis; however definitive treatment is debatable.

Hemiplegic shoulder is one of the most common forms of presentation in individuals suffering from stroke. They present with severe pain as well limited range of movements in the affected shoulder. This case report demonstrates the use of high-resolution ultrasound guidance to facilitate blockade of the suprascapular nerve which supplies sensation to the shoulder joint.

Aim: The study aimed to assess reasons for avoiding orthodontic treatment among dental students and non dental students with malocclusion requiring orthodontic treatment. Materials and Methods: One hundred and fifty dental and One hundred and fifty non dental students who would fall into IOTN (Index of Orthodontic Treatment Need) index grade 3, 4 and 5 answered a semi structured questionnaire containing 4 questions which records their awareness and concern about malocclusion and reasons for avoiding orthodontic treatment.

Introduction: Double J (DJ) stent removal requires local anesthesia and is done using rigid cystoscope. Patients experience significant pain during and after the procedure. We assessed the efficacy of preemptive oral diclofenac in analgesia for patients undergoing DJ stent removal by rigid cystoscopy compared to placebo. Methods: Only male patients undergoing DJ stent removal under local anesthesia between March 2017 and July 2018 were enrolled. Patients were randomized to receive 50 mg oral diclofenac (Group A) or placebo (Group B) 1 hour before procedure by randomization.

Background: The biggest concern of any orthodontic treatment is the amount of time which is required to complete the treatment. Prolonged treatment time could increase the risk of dental caries, periodontal diseases, and root resorption. Thus, accelerating orthodontic tooth movement (OTM) is one of the primary goals for orthodontists with optimum end results, which will ultimately shorten the treatment duration.

Diabetes and anxiodepressive syndrom are both two mjor problem of public health who have influence for each other. Depression and anxiety are the first psychiatric problems of diabetics’ patients that are often misdiagnosed and non-treated. The aims of this study are to evaluate the prevalence of anxiety and depression and to extract the associated risk factors, in order to improve the intake of the diabetic patients. A cross-sectional, descriptive study was conducted within the endocrinology service in the University Hospital of Josph Raseta Befelatanana.

Background: The prevalence of obesity has reached epidemic levels over the past few decades, and this is more so among hypertensive adults. Concurrent with this rise are increase in numerous obesity-associated diseases including heart disease, certain types of cancer, and diabetes. The cornerstone of therapeutic interventions to treat or prevent these diseases is weight loss via lifestyle modification. Aim: The study was undertaken to determine the effect of change in lifestyle measures on weight and Body Mass Index (BMI) among adult hypertensive patients.

Endoscopic DCR is preferred for its scarless, minimally invasive technique. Many modifications including placement of silicon stents has been done over the years to reduce the recurrence. Endonasal endoscopic and External DCR approaches have their own advantages and disadvantages. Endoscopic DCR is one of the several techniques to unblock the nasolacrimal duct. Methods: our study included 40 patients with epiphora having obstruction in the nasolacrimal duct. All the patients underwent Endoscopic DCR with silicon stent placement.

Membrane proteins have a pivotal role in cell biology. They are involved in supervising the cellular interactions and maintaining stability of the cell structure. Astrotactin-2 is a perfor in like protein, which has a crucial role in many neuro developmental brain disorders such as autism spectrum disorder, bipolar disorder, schizophrenia etc. Since transmembrane proteins are large in size, it is necessary to precisely orient the protein and thus coarse-grained simulation serves as the best option for computational studies of MPs.

Background: Ponticulus posticus is a cervical spine anomaly which can be detected on a routine lateral cephalogram that is mostly neglected by the dentists. Aims: To estimate the prevalence of ponticulus posticus and its relationship with gender in Central Kerala population. Methods and Materials: A sample of 525 patients lateral cephalogram were randomly selected from the archived records in the department. Eighty one lateral cephalograms were excluded, and only 444 lateral cephalograms were taken with patients aged between 8-50years.

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