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August 2019

Maturity Onset Diabetes of Young (MODY) is a hereditary form of diabetes mellitus and is caused due to mutations in autosomal dominant gene and is referred to as Monogenic diabetes. It may be confuses to be a disease Latent Autoimmune Diabetes of Adult (LADA). But LADA has a slower progression to insulin dependence as age progresses while MODY has childhood onset and occurs later in life. MODY variant forms include MODY 2 and 3 which are most common forms.

Background: Sickle Cell Disease (SCD) is a chronic, debilitating disorder with a myriad of symptoms that make disease treatment challenging. The use of food and nutrition in managing SCD is gaining increasing attention because some nutrients from food could serve as a source of the antisickling new lead compounds. Objective: It was to profile; to investigate in vitro antisickling properties, membrane stability effect and antioxidant potentials of amino acids extract from black bean seeds (Phaseolus vulgarus L.) used in the management of SCD in the West Region of Cameroon.

The purpose of this study was to compare KOH, culture and CFW stain in the diagnosis of superficial mycoses and to determine their sensitivity, specificity and predictive value. Clinically diagnosed 100 superficial fungal infection cases (males 56 and Female 44) age ranged 25 to 55yrs formed the study group. This is in collaboration with department of Dermatology, Victoria Hospital Bangalore. The study was conducted in Microbiology department AIMS BG Nagara. Samples from skin, nail and hair were collected as per individual symptomotology.

The study was conducted at Awabel Woreda to analyze the market chain performance of bee honey. The area is known for its production of honey. However, market chain of honey is not well understood. The study has focused on market participants, the structure, conduct and performance of honey markets. The research design used for this study was cross sectional survey type. The data were generated by structured questionnaire, focus group discussions, and key informant interviews.

Sorghum (Sorghum bicolor L. Moench) is an important staple food crops and provide bulk of raw materials for the livestock and many agro-allied industries in the world. There are collections of sorghum genotypes in some research institutes and most of these collections lack information on its morphology- agronomic traits that could be used by researchers to improve sorghum production in Nigeria. However, breeding for high yield crops requires information on the nature and magnitude of variation in the available materials and the relationship of yield with other agronomic characters.

Background: Physiotherapy is a form of rehabilitation science which helps to make a difference in an individual’s ability to live an active and healthy lifestyle. For many physiotherapist working in India, the main source of reference is a orthopaedic. Slowly and steadily physiotherapy did establish a firm base in India with lot of new developments, but still by large, physiotherapy remains a secondary referral profession. Hence this study was conducted to look at the orthopaedic perspective as to how much importance is given to the physiotherapy.

The agricultural waste corn ears have been used in the depollution of sewage loaded with coloring, including Methylene Blue (MB). The adsorption balance was reached in 15min. The yield of elimination of Methylene Blue reached 96.85%. The experimental data are analyzed by two isotherms (Freundlich and Temkin). The Freundlich nf constant is between 0 and 0.5. We have studied thermodynamic parameters in the temperature range of 298K and 338K.

Introduction and Background: Continuing professional development programme has become a popular term among professionals in recent years. Professional organizations are exploring continuing professional development programme to monitor accountability and clinical competence. The present study was planned to assess and compare the attitude and barriers towards participation in continuing professional development programme among nurses working in Government and Private Hospitals, Sikkim.

Lamb wave is widely used in the detection of butt weld defect of steel plate. In order to solve the high requirement of traditional piezoelectric ultrasonic on the surface of the specimen, the electromagnetic ultrasonic testing technology (EMAT) is adopted to stimulate Lamb wave. On the basis of solving the Lamb wave frequency scatter curve diagram of 3mm thick steel plate by MATLAB programming, COMSOL software was used to simulate the propagation of characteristic guided waves in steel plate welds.

Objective: To determine the frequency of atrial fibrillation in patients presenting with ischemic stroke and outcome in terms of death or survival at the time of discharge from the tertiary care hospital in Quetta. Patients and methods: This case series study was carried out in a period of one year from May 2014 to April 2015 at Neurology department, Bolan Medical Complex Hospital, Quetta, Pakistan. A sample of 136 patients of age >20 years &<60 years who were ischemic stroke diagnosed on MRI were included.

Introduction: Acute malnutrition is defined by the weight / height (W/ H) index <- 2 Z-score at the median of the WHO standards. It is responsible for 45% of deaths of children under 5 in developing countries. Objectives: To determine the prevalence and determinants of malnutrition among children under five in the district of Djiri in Brazzaville in 2018. Methods: An analytical cross-sectional study was conducted on 482 mother-child pairs whose children were aged 6-59 months in the Djiri district of Brazzaville. We collected data from May 30 to July 15, 2018.

Background: The aim of the study is to correlate between the value of digital rectal examination (DRE), serum prostate-specific antigen (PSA), and transrectal ultrasound (TRUS) guided biopsy as predictors for diagnosing prostate cancer and to find out whether combined modality is better in screening and detection of prostate cancer. Materials and Methods: A total of 62 male patients seen over a period of 2 years in a single institution with abnormal DRE, serum PSA levels, TRUS and TRUS guided biopsy and correlated. Results: TRUS biopsy revealed prostate cancer in 26 out of 62 patients.

Introduction: Gastrointestinal (GI) adverse reactions are the main complaint of patients receiving metform in and caused approximately 5% of patients to the extent that discontinue their medication or compliance impaired. Objective: The study aimed was to reduce GI disturbance in patients receiving met form in with a primary endpoint to improve patient’s outcome by reducing HbA1c and patient satisfaction. Methodology: This study was conducted on 203 patients receiving met form in and can’t tolerate GI disturbance.

Knowledge of the water balance is the basis for the development of agricultural production, crop selection, and determination of cropping pattern (Oldeman and Frere, 1982 in Sujalu, 2000). Water balance is defined as ‘the net change in water, taking into account all the inflows to and outflows from a hydrologic system’. Rainfall is the main source of water supply on the earth surface and it determines the moisture level at various depths of soil available to crops.

The present study was designed to determine the bioactive components in aqueous hot extract of Eugenia uniflora leaves. Phytochmical screening of the extract revealed the presence of various metabolites like alkaloids, flavanoids, cardiac glycosides, phenols, tannins etc., GC-MS analysis in aquous extract was carried out using Perkin Elmer GC Clarus 500 system comprising AOC-20i Auto-sampler and a Gas chromatography interfaced to a Mass spectrometer (GC-MS) equipped with a Elite-5MS (5% Diphenyl 95% Dimethyl Poly Siloxane) Fused capillary column (30× 0.25m 1D × 0.25m dF).

Hansen’s disease caused by the bacillus Mycobacterium leprae, is a chronic granulomatous disease. As this bacterium cannot be cultured, it remains the least understood bacterial pathogen. Skin, peripheral nerves & nasal mucosa are mainly affected but this bacterium is capable of affecting any tissue or organ. National leprosy control program was launched in 1955 with an aim to achieve leprosy control but it did not succeed. Later on, global leprosy strategy (2016-2020) have been adopted.

Background: Multiple attempts and needle redirection in a single attempt while performing combined spinal epidural anaesthesia are associated with a greater incidence of postdural puncture headache, paraesthesia, and spinal hematoma. We hypothesized that the routine use of a preprocedural ultrasound-guided combined spinal epidural anaesthesia would reduce the number of attempts and needle redirection in a single attempt when compared with the conventional landmark-guided combined spinal epidural anaesthesia.

Objective: To study the antibiotic prescribing pattern in surgery department of a tertiary care teaching hospital. Methods: A prospective observational study was conducted over a period of six months in a tertiary care teaching hospital. A total of 300 case records of inpatient undergone treatment in surgery department was reviewed. The relevant information was recorded in structured proforma and data was evaluated. Results: Case records of 300patients who have undergone surgery were observed during the study period. Antibiotics were recommended for 254 patients.

The study examined the role of animal traction technology on profitability and income of small scale farmers in Kebbi State, Nigeria. Primary data were collected through the use of pre tested questionnaires in 2017. A multistage sampling procedure was used to collect data from two categories of respondents that is ATT Users and Non-users. Data were analyzed using descriptive statistics, Net Farm Income Analysis and Gini Co-efficient. The result showed that bull (100 %), camel (60.26 %) and donkey (32.05 %) are the various types of animals used as draught animals in the study area.

Background: Postoperative pain occurs due to the peripheral tissue injury which provokes peripheral and central sensitization. Several modalities have been developed, using analgesics and adjuvant drugs, to assure complete pain relief in perioperative period. Spinal anaesthesia, is a popular and common technique used worldwide, for lower limb and lower extremity surgeries. However, post-operative pain control is a major problem with using local anesthetics alone in subarachnoid block, because of relatively short duration of action.

Objectives: comparison of trunk training exercise versus pelvic PNF to improve trunk control and gait in chronic stroke patient. Method: A sample of 20 patients was recruited from the Physiotherapy Department of shree B.G. Patel College of physiotherapy and Iris Hospital anand through convenient sampling technique. Ten patients were placed to each TTE and PNF groups. TTE group was treated with trunk and L/E exercises on unstable surface and PNF group was treated with PNF patterns of Pelvic for four consecutive weeks.

Music therapy is one of the complementary therapies which not only delights our mind but also delivers immense relief to the body. The selective use of music therapy is a simple practice without any unwanted collateral effects on the patients during the treatment of the most other variables and reduces a considerable amount of anxiety, pain, stress and depression in Intensive Care Units.

The present investigation deals with the Atmospheric Fungal Assortment over Cajanus cajan Field at Maliwada village Dist. Aurangabad (M.S.). The aerobiological investigation was carried out by using volumetric Tilak air sampler from 1 July 2016 to 31 December 2016. Total number of fungal spores found during the month of July to December 2016 were (62289 spores/m3) belonging to 44 genera. Dominant spore group accounted were Deuteromycotina about (70.09%). Throughout the season Cladosporium were most dominant spore (29.51%).

Background: Thyroid disorders are among the common endocrine problems in pregnant women. It is now well established that not only overt, but subclinical thyroid dysfunction also has adverse effects on maternal and fetal outcome. There are very few data from India about the prevalence of thyroid dysfunction in pregnancy. Aims and objectives: This study aims to find prevalence of thyroid dysfunction in pregnancy and its impact on obstetrical outcome in Indian population. The study has also an objective of finding the occurrence of subclinical hypothyroidism and overt hypothyroidism.

Background: The delay or malfunction of any of the neuromuscular systems for postural control leads to a spontaneous oscillation of the center of mass within the position maintained by the individual, resulting in postural sway. Force-plates and dynamic posturography are been widely used in clinical settings to analyze the postural sway. Swaymeter is found to be a cost-effective and easy tool to analyze the postural sway in neurologic patients. This study identified the test-retest reliability of Swaymeter and its concurrent validity with the Multi-Directional Reach Test.

The measurements of the thickness of the removed active layer of a cellulose nitrate-85 (LR-115, type II) detector have been carried out by using surface profilometry method through Fourier transform infrared (FTIR) system with the spectroscopic wave number at 1598 cm−1 corresponding to the O–NO2 bond of a CN-85 (LR-115, Type II) SSNTD. Due to chemical reaction between the etching solution (etchant) and the detector material, some molecules of the detector are removed. The final effect is the removal of the material from the detector surface.

Illegal harvesting is the most significant threat to biodiversity in Ethiopia. Similar problem is facing in Borecha Woreda (Ameto, Leka Siden and Markafo kebele). The aim of this study was to assess the drivers and impacts of illegal hunting. For this study, cross-sectional and longitudinal research designs were employed. To collect necessary data through interview and focus group discussion cross-sectional design was employed and longitudinal research design was used for quantification and identification of wildlife while hunters engaged on hunting.

The Pe speaking people of Dokpai community in Kanke Local Government Area of Plateau State are group of people who are living in the mountainous and hilly area of the Local Government Area. They are remote, isolated, left behind and as well do not use or rely on contemporary modern technology to provide ease and comfort of living. Their thought and ways of doing things are still orthodox, primordial and resistance to developmental functions. Pe speaking people are cruel, vicious and ferocious in their act and how they relate with others.

The Ultrasonic Based Distance Measurement System details the implementation of distance measurement system using the ultrasonic waves. The distance can be measured using pulse echo measurement method. The measurement unit uses the continuous signal in the transmission frequency range of ultrasonic transducers. The signal is transmitted by an ultrasonic transducer, reflected by an obstacle and received by another transducer, reflected by the obstacle and received by another transducer where the signal is detected.

Today the electronic devices are widely used in this Era. So the measurement of potential difference and current is very important to know. In this work the implementation of voltmeter is carried out. The advantage of this voltmeter is that can be measure the wide range of voltage and precision is 90% efficiency. This circuit is designed to measure 0 to 230VThe new microcontroller based voltmeter cost is very cheap and can be setup easily. When we use what we have learned of microprossers and adjust the program to calculate and show the measure in the 7 segment.

Photoshop is a image editing software not a designing software. Adobe provides many designing software Adobe Illustrator, Image Ready, and Adobe In-Design. Photoshop can do important task includes treating, manipulation, compositing, converting to different format and printing etc. You can know about the Photoshop Interface and how the tools, layers, colors palette, navigators and properties works. How to work with raster images, smart objects, levels and adjustments in Photoshop. How to work color theory in Photoshop. How you can edit the original images.

Nowadays, a smart phone has variety of uses and becomes one of the most important devices. This paper is described the design and implementation of a door opening system using smart phone through Wireless Fidelity (WiFi ) technology. There are different types for transmitting data wirelessly: Bluetooth WiFi…etc. It is used the Bluetooth technology to establish communication between user's smart phone and controller board. The prototype supports manual controlling and microcontroller controlling to open and close home door.

Blended learning is a mix of pedagogical approach that combines the effectiveness and the socialization opportunities of the classroom with the technological enhancement of online learning. Blended learning increases the interaction between the instructor and the student by integrating formative and summative feedback in order to boost students learning experiences.

Stress is the emotional and physical strain caused by our response to present from the outside world. Stress is a part of today living. In our daily lives we are often exposed to situations that produce stress. However if our stress level is too high it can result in serious medical and social problems. Any event or Stress at work resulting from increasing complexities of work and its divergent demand has become a prominent and pervading feature of the modern organization.

Efron and Morris (1975) gave an amusing example of batting averages of major league baseball players in the United States, to illustrate the superiority of James Stein estimators over direct estimators. In this paper, we include eight more competitors and attempts to seek a best estimator of all. These new estimators include the overall sample proportion, a synthetic estimator using the previous year batting average, two composite estimators that we mentioned, the Bayes estimators using either noninformative or informative prior distribution.

The purpose of this study was to identify challenges that the students faced while learning paragraph writing through process writing approach and a descriptive research design was used. The participants of the study were grade 11 students at Yekatit 12 Preparatory School, Ethiopia. The data for the study were gathered through questionnaires.

The concept of anf-contraction mapping with generalized altering distance function is introduced, and some fixed and common fixed point theorems for f-contraction mapping with generalized altering distance function in partially ordered metric spaces are proved.

The measurements of the thickness of the removed active layer of a cellulose nitrate-85 (LR-115, type II) detector have been carried out by using surface profilometry method through Fourier transform infrared (FTIR) system with the spectroscopic wave number at 1598 cm−1 corresponding to the O–NO2 bond of a CN-85 (LR-115, Type II) SSNTD. Due to chemical reaction between the etching solution (etchant) and the detector material, some molecules of the detector are removed. The final effect is the removal of the material from the detector surface.

People living with Human immunodeficiency virus (PLWHA) are ostracized, judged morally and mostly rejected by their communities. This study aims to highlight and analyze the processes of stigmatisation of PLWHA as well as the rationale for their adaptability. The theories of causal attribution and stigmatization have been used to account for this phenomenon of rejection as well as the adaptation logics developed by victims. Methodologically, the research was conducted in Abidjan, Côte d'Ivoire, and 56 people, including 30 people living with HIV/AIDS, participated in the survey.

Background: The oil of D. edulis pulp fruits is known for its medicinal and nutritional potentialities. Evaluation of hepatic and renal function is a major step in the study of the pharmacological activities of plant extracts. Objective: To evaluate the effects of D. edulis (DEO) oil on biochemical parameters in mice. Methods: Lipid (TG, CT, HDL-C), transaminases (ALT and AST) and creatinin levels were determined in the serum after oral administration of DEO (5 and 10 ml/kg), for 6 weeks. The LDL-C level was calculated according to the Friedwald formula.

Xerostomia refers to a subjective sensation of dry mouth. A variety of factors can cause xerostomia including radiotherapy (RT) given for the treatment of oral carcinoma. Depending on the cause, treatment is provided to a patient suffering from xerostomia. In severe xerostomia salivary substitutes can be used and if the xerostomic patient is edentulous, then reservoir space for artificial salivary substitute can be created in partial as well as complete upper or lower dentures.

With the change in the emphasis from an inpatient to outpatient, hospital and office-based medical/surgical enhancement, there has been increased interest in the ‘big little problem’ of PONV, one of the main complaints in patients undergoing surgery under general anaesthesia. It is one of the most important factors that determine the length of hospital stay after ambulatory anaesthesia, can delay discharge and result in unplanned overnight hospital admission.

The study examined the relative effectiveness of Computer Assisted Instruction (CAI) and Classroom Demonstration Technique (CDT) on the performance of students in acid/basetitration under volumetric analysis aspect of the O' level practical Chemistry. A pre-test, post-test control group design was used for the study. A sample of 123 SSS II Chemistry students from three secondary schools in their intact classes in Akure South Local Government Area of Ondo State were used for the study. The three classes were assigned to treatment and control groups.

Background: Anatomical complex areas seen in parasellar region includes e.g. orbits, cavernous sinus and its contents like ICA and the walls of the cavernous sinuses, suprasellar cistern, hypothalamus attach through the pituitary stalk and dural reflections forming diaphragm sellae. Wide diversity of anatomy and pathology includes tumors, cyst, vascular lesion, inflammation, infection and congenital lesions1. A number of diseases that affect the pituitary-hypothalamic axis can have profound clinical, endocrinological as well as neurological consequences.

Objective: The purpose of this study was to evaluate the phase stability, surface characteristics, hardness and flexural strength of Yttrium stabilised zirconia ceramics after various low temperature aging using X-ray diffraction analysis, Scanning Electron Microscopy, a micro hardness tester and a universal testing machine respectively. Materials and methods: Blocks of Y-TZP from two manufacturers (n=15) Group-A AIDITE (Qinhuangdao Technology Co., Ltd, Hebei, China) and Group-B UPCERA(Shenzhen Upcera Dental Technology Co.

There has been an enormous increase in the frequency and severity of fungal infection inrecent years. This increase has been driven ina large part by two factors. First, the global AIDS epidemic has fostered the emergence of life-threatening infections by the opportunistic fungi Cryptococcus neoformans and Pneumocystisjiroveci and by other fungi such as Histoplasma capsulatum and Penicilliummarneffei. These infections occur most oftenin resource-limited countries in Africa, SouthAmerica, and Southeast Asia.

Background: Ovarian cancer encompasses a heterogenous group of malignancies that vary in etiology, molecular biology, and numerous other characteristics. Their complex nature, unpredictable behaviour, prognosis and varying therapeutic strategies, necessitates an accurate diagnosis. Aims and Objectives: The present study was undertaken to study the diverse histomorphological patterns of ovarian tumors over a period of 2 years(June-2010 to May-2012. Results: Out of 119 neoplastic ovarian lesions, 57.98% (69) were labeled as benign, 1.7% (2) as borderline and. 42.0% (48) as malignant.

Bladder cancer is the 10th most common form of cancer worldwide, with an estimated 549,000 new cases and 200,000 deaths. These tumours are an important cause of morbidity and mortality. Objective: The objective of this study was to present the histopathological patterns of urothelial tumours and to determine the grade and stage of these tumours. Methods: This was a prospective study conducted on 110 TURBT biopsies and cystectomy specimens at Sheri Kashmir Institute of Medical Sciences, Soura Srinagar over a speriod of 1 year from Jan2017 to December 2017.

The aim of this study was to analyze the perception of patients, with severe obesity in relation to body image and quality of life, who underwent to bariatric and metabolic surgery. This is an observational study, carried out with 12 female patients evaluating body image (BSQ) and quality of life (WHOQOL-BREF) in the postoperative period (90 days). There was improvement in quality of life in the four domains scores.

Human immunodeficiency virus (HIV) infection has altered both the epidemiology and outcome of enteric opportunistic parasitic infections. This study was done to determine the prevalence and species/genotypes of intestinal coccidian and microsporidial infections among HIV/AIDS patients with diarrhea and/or a history of diarrhea alternately with an asymptomatic interval, and their association with ART therapy. This cross sectional study was done from May 2015 to March 2018 in IGIMS, Patna.

Tooth transposition is a disturbance of tooth eruption and is defined as change in the position of two adjacent teeth within the same quadrant. Tooth transposition is a rare condition and is usually related to eruption disturbances of the teeth and to the subsequent abnormal occlusal relationships. Transposition can be complete when the position of affected teeth is totally transposed or incomplete when only the crowns are transposed, while the roots remain in normal position. The present article reports a rare case where there is complete bilateral transposition of canine.

With the growth of computer vision, digital image processing is necessary to provide a clear image to the user. In existing technique only conversion between colors of email picture from RGB to GRAY SCALE image. That is not enough for a enhanced image which is not give the properly recognition of an Image. In this work, SVM (SUPPORT VECTOR MACHINE) is use to give the useful result of an image and proper recognition of an image. SVM is a Machine learning technique, which is useful for balance the Pixels, which is very useful from the point of view of digital image processing.

A prospective study of The incidence of central retinal vein occlusion associated with primary open-angle glaucoma conducted at Govt. Regional Eye Hospital Visakhapatnam. Materials and Methods: 32 cases central retinal vein occlusion with primary open-angle glaucoma are documented in patients during one and half years period. Results: the incidence of CRVO in POAG more as the age advanced, and equal in both sexes. Conclusions: incidence of CRVO in POAG is almost 10%. Proper control of IOP within normal limits may prevent the onset of CRVO.

Introduction: Cervical cancer affects many African women, particularly in younger women. It is however preventable if it is detected early. Better knowledge by health personnel, especially paramedics being the first responsible in rural areas, on the prevention of this cancer would reduce its frequency. The aim was to assess the knowledge, the attitude and the practice of paramedic students in the third year on cervical cancer. Method: It was a cross-sectional descriptive study, Knowledge, Attitude and Practice (KAP) survey on May 3, 2017 in Toliara city.

This study examines the influence of demographic variables on access to healthcare in Kenya, a case for Nairobi County. The objective of this study is to evaluate the influence of these demographic variables on access to public healthcare, a case for Nairobi County. It focuses on age, gender, income, education and wealth. This paper examines the health status of the residents in Nairobi County and reviews the effects of selected demographic factors on access to healthcare. The study used data from a sample of 1066 households purposively selected from Nairobi County.

Soil samples were collected from three different districts of Manipur under different land use system viz. Churachandpur (Jhum), Imphal east (Valley) and Senapati (Terrace) following the method of stratified multistage sampling. The aim of the work described here has been to assess the distribution of different forms of iron and aluminium in different land use system of Manipur. The value of KCl extractable Fe and Al was found to be highest In Jhum cultivation than Valley and Terrace cultivation.

Servisu Municipio Saúde (SMS) Baucau has carried out various efforts to improve service and quality improvement where health services are one of the determinants of good and bad services at Community Health Centers (health Centre) but there are still less employer/employee performance and satisfaction supported by the discovery the lack of a service index or per capital annual visit is still very minimal in each health Centre.

The current study describes the purify and characterize xylanase from Trichoderma virens. Xylanase (Xy1a) was purified to homogeneity 47.6-fold via sephacryl S-200. The molecular mass of Xy1a estimated by gel filtration was once 20 kDa with 24.7% recovery. Purity was proven by means of SDS-PAGE and a single band was observed. The highest activity of the Xy1a was observed at pH 5.5 and at temperature 50°C. The Xy1a enzyme was very stable up to 50°C. The purified xy1a showed higher affinity for Birchwood xylan with Km and Vmax of 5.83 mg/ml and 0.575µmol min-1 mg-1, respectively.

Background: Women are the backbone of healthy and progressive family. Hence coordinated and convergent efforts are needed to ensure survival, protection and empowerment of the girl child; Government has announced Beti Bachao Beti Padhao initiative and is being implemented through a national campaign (GOI, 2015).Gender discrimination in India is a reality which cannot be conveniently ignored. Driving a change in the mindset of people is the key to end this discrimination. Our girls deserve equal opportunities as boys.

The article analyzes the issues the transliteration formation and development of Uzbekistan in the last century as an independent field. It also focuses on the organization of translation groups, methodological support and translation work in higher education institutions.

The reason for the paper is to explore the e-initiative selection with ICT in an association. A study was sent to the authoritative pioneers in Chennai. Altogether, 1201 substantial organized poll were gathered. No sexual orientation inclination was distinguished in the example respondents. The gathered information were broke down through Structural Equation Modeling (SEM) to survey the proposed research model. To decide non-invariant parameters over the two gatherings of sex, a test for invariance was directed.

Purpose: The purpose of this study was to evaluate the effect of different drying methods of the post space on dentin bonding in composite core build-up method by using hydrophilic and hydrophobic agents. Methods: Total 30 caries-free incisors and premolars were endodontically treated for post and core build up.

In general, only insolvent debtor is declared bankrupt by the Court. Hence, the Court should reject request of bankruptcy if the debtor is still solvent. However, there are many cases in Indonesia where the court passed on bankruptcy decision to the solvent debtors. The purpose of this article is to examine the needs of using insolvency test for bankruptcy decision ruled down by the judge. This article employs normative legal research.

Background: Today’s clients tend to cross the traditional marketing funnel boundaries by changing the way they research and purchase. Any organization that wants to be successful must consider buyer behaviour while developing their marketing mix. This paper aims to study the role of psychological factors in determining consumer’s buying behaviour, which ultimately affects the product sales performance in the given market. Construction chemical industry of India is considered as a target market.

Although continuous positive airway (CPAP) pressure therapy is the most recommended treatment for patients with obstructive sleep apnea (OSA) not all patients are able to remain compliant with this form of treatment. Some complain of claustrophobia, dry nasal passages, skin irritation from masks, difficulty tolerating pressurized air, and accidentally removing the mask while tossing at night.

Background: Neuro Endocrine Tumors (NET) comprises a family of neoplasms derived from the diffuse neuroendocrine system, with a wide range of morphologic, functional and behavioral characteristics. NETs are very uncommon and studies on their clinical profile, management and outcomes are very rare. This study was undertaken to document the clinico-epidemiological profile and outcomes of NETs presenting to a regional cancer centre in South India.

This article analyzes the historical and philosophical foundations of the dialectical relationships of the conceptions of mutual cohesion and tolerance, as well as the peculiarities of modernity. The focus of the Central Asian region is to emphasize the importance of good-neighborly and friendly relations as a strategic social platform for mobilizing towards common interests.

Background: the causes of high maternal and perinatal deaths in Indonesia and other developing countries are due to the length of labor. Efforts can be made by pregnant women so that labor runs smoothly by doing pregnancy exercises. Maternal needs in childbirth: assistant by husband/family, who can greatly provide support both physically, emotionally and advocately. Aims: to identify relationship between childbirth assistant and pregnant gymnastics with smooth delivery. Methods: The study was retrospective with approach case control.

The transfer of improved technology and their effective adoption is influenced by the method of its transfer to the farmers in accordance to their need. The media is playing an important role in passing on meaningful information at faster rate to the large number of farmers in country. It has emerged as one of the powerful sources of seeking relevant scientific information by our farm families, therefore, tapping and utilization of media for transferring the newly generated technologies in agriculture among the farm families is crucial and significant.

This paper is a review of peace and security in the Horn of Africa and the role of Ethiopia in peace operation in the region. The analysis presented in the article is based on the qualitative data provided by international organizations, governments, research institutions and other concerned bodies. The paper is developed with the use of a historical method, as well as discourse analysis of the literature on the subject, official documents and the press. In the contemporary world politics Regional security Complexes play an important role in sponsoring Peace and stability.

This article examines the maritime claims that are subject to liability limitation as provided for in both the Nigerian Merchant Shipping Act, 2007 and the repealed Merchant Shipping Act 1963. It identifies some distinctions inherent in the application of the two Acts in respect of limitable claims.

The study employed a Translog stochastic frontier production function approach to examine the technical efficiency and its determinants among sheep fattening enterprises in Kebbi state, Nigeria. Data were generated from a sample of 160 fatteners using the multi-stage random sampling technique.

“In Myanmar, the Buddhist ordination ceremony symbolizes the great renunciation of Buddha and also the ordination eight years-old son of Lord Buddha. Both this historical eventissymbolized and dramatized harmoniously in the ordination ceremony to join the monastic Sangh Order as a novice-hood and monk-hood as long as they desire to stay there. The ordination ceremony is as essential part of their life in Myanmar.

Change is the inevitable part of everyone’s life because life has to go on. Change is never easy especially when it involves too many people and an entire system. Yet it is an essential part of our lives especially when some innovation is required for influencing a person or society. This can be in the form of education for the handicapped or those with special needs. It is much more effective if started at the elementary level of education.

This paper deals with the nomadic, semi nomadic and denotified tribes’ access to basic amenities like housing, infrastructure, drinking water, sanitation, electricity etc. Denotified and nomadic communities have tendency to move from one place to another new place in groups for their livelihood, this nomadic tendency has direct influence on their vulnerability to access basic amenities for their families. The present study is carried out in Hyderabad, Ranga Reddy, Mahbubnagar, Nalgonda and Warangal districts of Telangana state.

Expanded access and improved quality of secondary education in sub-Saharan Africa is one of key components for economic growth in the region. The review is timely because it discusses best practices and solutions for developing and implementing sustainable and high quality secondary education systems in African countries. The review’s objectives are to facilitate the dialogue between African countries and its development partners and to provide a “roadmap” to practical solutions facing Africa’s secondary education systems in the 21st century.

Background: preschool are 3 until 6 years old. Children urgently need full support from their family. The support will reflected trough by parenting. Aims: to know relationship between parenting parents and the independence of preschool in fulfill activity daily. Methods: the study was analitic with cross sectional approach. Total population were 37 respondents by using total sampling. Data collection were used by distributing questionnaire’s which contain 30 statements and then data were analyzed using chi-squre.

Tulaipanji is one of the oldest indigenous aromatic rice varieties in the physiographic division of the North Bengal plain of West Bengal, India. Raiganj CD Block of Uttar Dinajpur District, located in this physiographic division is very famous for the cultivation of this rice variety. Cultivation of this rice has been done in this natural habitat for more than 100 years back. Thus, this rice variety adapted itself in its microhabitat or niche. The fundamental niche of this rice was spread in major parts of the Raiganj CD Block.

Background: During scaling and root planing procedure aerosol production has been known as potent source of infection. Thus, the aim of the present study was to evaluate and compare the efficacy of two different mouthwashes containing Chlorhexidine and Essential Oils by using them as pre-procedural rinsing agent in reducing the bacterial load of the aerosol produced by ultrasonic scaler.

Successful endodontic practice requires complete knowledge about the various medical conditions and appropriateness in planning treatment as per the need with effective safety measures. This review focuses on a number of systemic complications encountered in endodontic practice that necessitate extra knowledge and care to prevent potential complications causing otherwise unnecessary morbidity and mortality. These include diabetes, multiple drug interactions, cardiac abnormalities, respiratory disorders and infectious diseases.

Work productivity is an illustration of the ability of workers to produce output. The higher the output produced by a worker, shows the higher the level of productivity of these workers. Centro de Saúde (CdS) area of Servços Municipio Saúde (SMS) Municipio de Baucau is the most many absorb health workers in Municipio de Baucau. But many factors influence productivity the work of health workers at these government institutions.

Aesthetics plays an important role in complete denture treatment. Prosthetic rehabilitation of a completely edentulous patient no longer confines to only the replacement of missing teeth. Nowadays patients are too demanding for improvement in esthetics at the completion of treatment. The loss of support of the facial musculature is of great concern in treating completely edentulous patients. Sunken cheeks are one of the major consequences of flaccid facial musculature.

Introduction: The present study was conducted with the aim to diagnose and categorize aplastic anemia (AA) according to the severity as non severe (NsAA), severe (sAA) and very severe (VsAA) and to study microvessel density using immunohistochemical stain using CD 34 and morphometric analysis of microvessel density by computer assisted quantitative analyser and to compare it in the three subcategories of aplastic anemia with control group. Material and Methods: The present prospective study was conducted in the Department of Pathology at Pt. B.D. Sharma PGIMS, Rohtak.

Background: Telemedicine is an emerging health care technology in India. The success and utilization of any new technology depends on several contributing factors such as knowledge, awareness of the concept, competencies, and attitude towards technology by the concerned health care professionals. Objectives: The main aim of this study was to assess the knowledge, attitude, skills as well as perceived advantages and barriers of telemedicine among the primary care providers working in District Mental Health Program (DMHP), Karnataka, India.

Multiple-choice tests are usually scored dichotomously, i.e. as correct or as incorrect. A correct response is scored one and an incorrect response is scored zero. Using these scores different psychometric paradigms and models are used to analyse the data and to quantify the performance of the test takers. Classical Test Theory commonly add the question scores to obtain a total score whilst Rasch and Item Response Theory models estimate measures from probabilities.

Stroke causes debilitating effects on the overall functioning of the individual and its consequence varies widely based on its site of lesion.Among the various factors triggering the incidence of stroke,renal failure followed by dialysis also plays a major role which is constantly overlooked. With emerging awareness, a considerable number of research have been documented targeting the medial profile of an individual who suffered an episode of stroke following dialysis.

Background: Dairy products strongly enhance the growth of microorganisms. Soft cheese sold in Ado-Ekiti are mostly prepared locally and hawked by women who are mostly illiterates. The paucity of information on health safety of consumers of the local cheese necessitates this study. The prevalence, microbial load and antibiotic sensitivity pattern of isolated bacteria were investigated. Methods: Twenty samples of soft cheese randomly collected from various hawkers were processed.

Introduction: Technetium-99m pertechnetate is the most readily available radionuclide employed for thyroid uptake using gamma camera, which provides an assessment of the trapping ability of the gland. The present study was carried out to compare Tc-99m pertechnetate thyroid uptake values by three different protocols (gamma camera, uptake probe using computer software and uptake probe using manual method). Material and Methods: This prospective study was performed in twenty seven consecutive patients (5 males and 22 females) using three different protocols and two different modalities ie.

Aims and objectives: To evaluate the knowledge, attitude and practice on hand hygiene among registered nurses and nursing students in a referral hospital. Background of study: HCAIs is associated with increased morbidity, mortality, prolonged hospital stay, increased health care costs, and antibiotic resistance in both acute and long term care facilities. Based on recommendations from WHO and the Centers for Disease Control, HH is the most important and easy way for the control of hospital infections.

Aim: Aim of the study is to evaluate the role of Laparoscopy with hysterosalpingography in evaluation of patients with infertility. Materials and Methods: This prospective clinical study is conducted at in the department of Obstetrics and Gynaecology, Al Ameen Medical College Vijayapura Karnataka from January 2017 to December 2018. Results: Out of 50 cases of primary infertility, 38(76%) were primary infertility and 12(24%) were secondary infertility.

Background: To study the of benign breast disease in relation to clinical presentation investigation and management. Material and methods: This prospective study was done for 120 patients presenting with benign breast disease in the department of surgery. Results: Highest incidence in age group 21-30(48%), right breast affected in 48%, patients, while the left breast was affected in 40%, Most common presentation was found to be lump in the breast 70%.fibroadenoma was commonly observed followed by fibroadneosis.

Background: the on job training protocol on new nurses is a guide develop as a guide for running a trial period on new nurses accompanied by grooves and modules. Aims: to develop the on job training protocol on new nurses at MitraMedika Medan hospital. Methods: the study design used action research conducted in one cycle from July 2017 to January 2018. There were 13 participants who qualified using purposive sampling based on the inclusion criteria. The data were gathered focus group discussion and questionnaire.

Background: in india drowning is one of the most common cause of death and it is mostly related to plenty of water resources from rivers, ponds, wells and extensive sea coast. Aim: to study death related to drowning. Materials and methods: this is a retrospective study of death due to drowning which underwent postmortem from 2008-2018 in department of Forensic medicine, Al Ameen medical college Bijapur, Karnataka. Results: Drowning deaths were predominantly seen in males (70%) followed by females (30%)with male to female ratio 2.33:1.

Background: The OSCE assessment tool has been used in the medicine field long back to assess the competence of students but currently it has been extensively used in nursing field to appraise the clinical competence of nursing students. Method: A systematic review was conducted to bring out the perception on OSCE from faculty and students and the complexities associated with it. An extensive review of nursing literature through different databases was conducted by 2 independent reviewers.

Intoxicated head injury constitutes a significant proportion of Emergency Department presentations throughout the United Kingdom. The presentation can be widely varied from isolated head injury to the multiply injured patient with co-existing head injury. As a result, the presentation can range from the inebriated walking patient to the patient brought in by ambulance with a standby-call in to the Department.

Background: To study the patterns of benign breast disease with is co-relation with pathology findings. Material and methods: A total of 300 female suggestive of benign breast disease were refered to pathology department. Results: Highest incidence in age group 21-30, commonest presentation is breast lumps fibroadenoma was commonly observed followed by ibroadneosis. Conclusion :Benign breast disease is a common problem in female, fibroadenoma is the commonest of them .diagnostic accuracy of FNAC is high in the diagnosis of benign breast diseases

Flexibility is considered a component of physical fitness that is related to health and flexibility training is recommended in different contexts. Muscle contraction during stretching exercise might increase hemodynamic response which appears to be influenced by the amount of activated muscle mass and intensity of stretching. These changes are primarily mediated by type 3 afferent fibers which are sensitive to mechanical stress.

31 yr old male presents to me for traumatic ipsilateral fracture of trochanteric region with transverse fracture of actabulam having posterior wall and posterior coloumn fracture alongside posterior dislocation of hip. patient was operated for intertrochanteric fracture first by fixation with dynamic screw plate system on fracture table.

Objective: To evaluate the influence of position on lumbar loadings. Methods: Ten healthy participants were recruited for the study. A motion analysis system was used to collect kinematic data, a force platform measured ground reaction force, and spherical reflective markers were attached into the upper, low extremities and trunk of each participant during lumbar flexion, extension, left bending and left axial rotation. The marker’s data and ground reaction force data were input to Open Sim and the compression and shear force in each segment of the lumbar spine was calculated.

Urinary Tract Infection (UTI) is very common condition seen in middle aged and elderly females. Currently there are irrational ayurvedic management of UTI are done with multi formulations and panchakarma therapies with less or no positive outcome. Science based evidence based Ayurveda (SBEBA) management of infections helps in achieving positive result with minimum medications without irrational combination of allopathic medicines and other therapies.

Background: Women contribute a lot towards society development. Gender equality is essential for society to ensure sustainable development of the country. Better is the status of women more developed are the societies. Status of women can be increased with their empowerment. Objectives of the study: To study awareness and participation of women in women empowerment activities in rural areas of Haryana. Method: Type of Study: Cross-sectional descriptive. Study Settings: Block Lakhan Majra. Study population: Women 18 years and above.

Background: Propofol and fentanyl are the commonly used drugs for induction of general anaesthesia. Propofol when given alone does not cause much changes in hemodynamic status of normal healthy (ASA grade1) individuals. When it is given in combination with fentanyl causes detrimental effects in patients especially compromised patients. The most common deleterious effects is hypotension and other cardio respiratory disturbances. These hazardous and sometimes fatal effects can be reduced and eliminated by preloading the patients with crystalloid solutions (Ringer Lactate).

Reactors are equipment in which a chemical reaction takes place. For the chemical engineer, it is an operation of great importance since products that society needs are obtained by chemical transformations of raw materials. It is then fundamental to understand the mathematical models that describe the reacting systems. For a system of sequential reactions the speed law for each participating species is set, obtaining in this way separable differential equations and first order linear differential equations.

Background: POSSUM AND P-POSSUM are two well known scoring systems for the evaluation of mortality and morbidity. It uses both preoperative and intra operative parameters of the patient for calculation of the score. Mortality rate alone cannot be used to compare the outcome of surgery between units or institutions. These scores can be used for the prediction of mortality and also for surgical audit, thus help in improvisation of our skill and proper documentation of patient details.

Background: School personnel play a vital role in the detection and reporting of child abuse, as they encounter almost all children in the population during their daily work. However, they report relatively few cases of suspected child abuse to child protective agencies. The aim of this qualitative study was to investigate the experiences of primary school teachers and school bus attendants regarding child abuse case detection and handling. Methods: Focus group interviews were held among 14 primary school teachers and 14 school bus attendants.

Pollinators provide essential services to Shea trees (V. paradoxa) in parklands. Parklands are modified into landscapes through human usage. Shea trees are found within landscapes in parklands of the Northern region of Ghana. However, influence of landscapes on pollinators is not known. This study therefore sought to find the influence of parkland landscapes on Shea tree (Vitellaria paradoxa) pollination in Northern Region of Ghana from November 2011 to March 2012. A bagging experiment with muslin was used to assess the type of pollination.

Utilization of appropriate agricultural mechanization is expected to enhance the Ethiopia GTP II program implementation. Therefore, this study was proposed to identify the existing improved farm implements and powered machineries for agricultural operations and to survey small holder farmers need for mechanization implements in western oromia National regional state, Ethiopia. Primary and secondary data were used to obtain the target of the objective of the study. Multi-stage sampling procedure was used to select ten districts and twenty sample Peasant association (PAs).

The density functional theory (DFT) with B3LYP/6-311G (d, p) basis setisused for determination of chemical reactivity (stability) and selective sites of aryl 1-(2,4-dinitronapthyl) etherand amine derivatives.The calculation of dihedral angles indicates that the phenyl and naphthyl rings are not planar. In addition, the molecular electrostatic potential maps and frontier molecular orbitals were performed at B3LYP/6-311G (d, p) level of theory. Mulliken, NBO atomic charge of both ethers and amines, IR, UV and 1HNMR are calculated.

Cancer in an multifactorial disease that occurs due to the uncontrolled cell division which invades surrounding tissue replacing native cells and ultimately resulting into the disease leading to death. Development of high throughout cancer vaccine is the need of the century in order to control increasing incidence of death among cancer patients. The aim of cancer vaccines is to stimulate the immune system of the individual, to be able to recognize and differentiate cancer cells as abnormal and destroy them specifically.

The Cretaceous strata of the Mvule # 1 well from the Deep Offshore Basin of Tanzania contain large amount of shale and laminated mudstone, which under favourable conditions may be possible potential source rocks for hydrocarbons. This study examines hundred samples from early to late Cretaceous age by means of total organic carbon (TOC) content, palynofacies analysis and thermal maturities.

Background: Hypermethylation of promoter regions of tumour suppressor genes is known to cause downregulation of tumour suppressor genes. We evaluated DNA methylation of two tumour suppressor genes p15 & E cadherin on histopathologically proven cases of head and neck cancers. Objectives: To study Methylation in the promoter region of p15 and E Cadherin genes from tissue samples of head & neck cancer and compare it with peripheral blood. Methodology: Forty three cases of head & neck cancer were taken as study subjects. DNA was extracted from HPE proven head & neck cancers.

Background: The recent advent of newer designs in supraglottic airway devices (SAD) provides a possible alternative technique to the traditional use of tracheal tubes during laparoscopic cholecystectomy. Among the supraglottic devices there are possible pros and cons for each device in laparoscopic surgeries. In our study, we compared the haemodynamic and respiratory mechanics of P-LMA and I-Gel in laparoscopic cholecystectomy. Objective: To compare the haemodynamic stability and respiratory mechanics between I-gel and proseal LMA in laparoscopic surgeries.

The activity concentration of Naturally Occurring Radio-nuclides such as 238U, 232Th and 40K in the collected soil sample from the selected area were measured by using Gamma ray spectroscopy employed by HPGe detector to perform the measurements. The average activity concentration values was found to be 46.708, 97.54, 795.414 and 2.23Bq/Kg for 238U, 232Th,40K and 137Cs respectively. These values were higher than the world average values given by UNSCEAR (2000).

A parametric model to represent the profiles of ZA, ZI and ZK-types worms and a hollow wheel in the transverse plane (plane normal to the axis of the worm) has been developed, based on their characteristics. The profiles represented by a relatively fine meshing are more representative and can be used to generate wheels and worms more easily under the CAD and the finite element software’s. As a result, these models can be useful in rapid prototyping to manufacture worm gears according to the perfect theoretical model.

Aim: The purpose of this study was to examine and compare the stress distribution on simulated anterior FPD models by using a fiber reinforced composite framework, modified with 2 types of fibers – polyethylene and glass fiber reinforced – and of standardized thickness. Materials and Methods: A three-unit FPD replacing the maxillary lateral incisor was constructed using finite element analysis software. A fiber framework of the pontic was designed with three variations: with the main framework curved labially (FRC1), located in the center (FRC2), or curved lingually (FRC3).

Background and objective: Hydatid disease is a zoonosis that can involve almost any organ in the human body. After the liver, the lungs are the most common site for hydatid disease in adults. Imaging plays a pivotal role in the diagnosis of the disease, as clinical features are often nonspecific. The aim of this study is to present the common imaging finding of this disease in our locality.

Background: Nocturnal enuresis has a significant psychological impact on both children and their parents. Parenteral attitudes and perceptions immensely affect the management and resolution of bedwetting in children. This study evaluates the parenteral attitudes and perceptions regarding nocturnal enuresis. Methods: A descriptive explorative study was carried out on parents of children studying in selected schools of Nashik. A survey was conducted to determine the students with monosymptomatic nocturnal enuresis.

Neonatal period is a highly vulnerable period of life when a neonate may develop certain serious problems which lead to death. Neonatal period is the most hazardous period of life because of various problems and diseases which a neonate faces. In Iraq, deaths in neonatal period account for more than half of under-five year's children deaths, highlighting urgent need to introduce health interventions to improve essential neonatal care and to evaluate and determine the main causes of death.

Background: Kidneys are bean shaped excretory organs found on either side of the vertebral column in the posterior abdominal wall. Anatomical knowledge regarding renal morphometry and hilar structural pattern are important during urological surgical procedures. They serve as important indicators in the progression of any disease in both nephrology and urology practice. The aim of this study was to analyze the morphometric features of both right and left kidneys and to compare it with the previous studies.

Background: Poisoning related deaths were commonly encountered in forensic autopsy. Poisoning related deaths mostly suicidal sometimes accidental and rarely homicidal. Aim: To study death due to suicidal poisoning in our area. Materials and Methods: This is a retrospective study of 100 cases of death due to suicidal poisoning which underwent Postmortem, from 2008-2018, Al Ameen Medical College, Bijapur. Results: In total 100 cases of death due to suicidal poisoning 72 were males and 28 were females with male to female ratio 2.5:1. 21-30 age group is more commonly involved around 52%.

Objectives: To study the effect of stair gait training for dynamic balance and walking ability in stroke patients. To study the effect of varied over ground training for dynamic balance and walking ability in stroke patients. To compare the effect of stair gait training vs varied over ground training for dynamic balance and walking ability in stroke patients. Methods: Cross Sectional Study design assigned by convenient samplingwith30 Subjects in each group. Outcome Measure: BBS, 5 METER WALK TEST, TUG test LEFS.

Background: To evaluate the consequences of drug interactions prescribed in the intensive care unit (ICU) of a large public hospital. Methods: Cross-sectional and retrospective study, performed with medical records of patients admitted to the adult ICU of a large hospital in the city of Imperatriz Maranhão, from January to March 2018. The selected patients were older than 18 years, and had a length of stay in the ICU for a equal or superior period of 24 hours and prescription with at least two drugs.

Objectives: To study the effect of stair gait training for dynamic balance and walking ability in stroke patients. To study the effect of varied over ground training for dynamic balance and walking ability in stroke patients. To compare the effect of stair gait training vs varied over ground training for dynamic balance and walking ability in stroke patients. Methods: Cross Sectional Study design assigned by convenient samplingwith30 Subjects in each group. Outcome Measure: BBS, 5 METER WALK TEST, TUG test LEFS.

Background of the study: Majority of nursing students face burnout symptoms both in academic and clinical settings due to high demands of training. This leads to an imbalance in the state of well-being status of nursing students and causes physical and psychological illnesses. There is a need to integrate proactive strategies in nursing training to promote the well-being of nursing students. Positivity module is a way to improve the skills of self-care in nursing students and have a direct effect on patient care in future.

Background of the study: Student nurses have different types of stressors e.g. financial stress, academic pressure from teachers and parents, time and health-related issues. This stress leads to affective, cognitive, social and physical changes. Sometimes mild stress is beneficial for academic tasks and performance while progressive high stress leads to affective and cognitive Impairment.

Intro: The science of our body is to gain health in every walk of the life, personal power, to develop knowledge and attain peace of mind. It also reduces stress, tension in the physical body, activates the parasympathetic nervous system. Methodology: For the study, 75 school students from a private school in Bangalore, were selected as subjects. Their age ranged between 13 to 17 years. The subjects have been segregated into three groups each consisting of equal members.

The objective of research work is to enhance the solubility and dissolution of allopurinol by solid dispersion using different concentration of sugar carriers (lactose and mannitol). The allopurinol solid dispersions were prepared by kneading method using lactose and mannitol with different ratio of drug and carrier such as 1:1, 1:3, 1:5 and after the formulation all the physiochemical properties were examined. All the formulations were found within the permissible pharmacopoeial limits for various physicochemical parameters.

HIV/AIDS is currently a major public health problem in Ethiopia and mother to child transmission (MTCT]. The transmission of HIV from infected mothers to babies could occur during antenatal period, as well as during delivery and breastfeeding (postnatal period). Since breastfeeding is essential for child survival, it is also necessary to assess mothers’ knowledge attitude and practice towards HIV transmission and its prevention during breastfeeding.

Background: Acute pancreatitis is a common disease having wide clinical variations. It may vary in severity from mild self-limiting pancreatic inflammation to pancreatic necrosis which is a life threatening condition causing to multi organ failure syndrome. Methodology: We conducted a retrospective study in Rama Medical College Hospital and Research Centre, Pilkhuwa, Hapur in the Department of surgery from April 2017 to April 2019.All the patients with the diagnosis of acute pancreatitis were included in this study.

The rationale for the use of the drug L-carnitine (Levocarnitine) in the complex treatment of neonatal pneumonia was metabolic disorders and carnitine deficiency in premature infants with perinatal pathology. The aim of the study was to increase the effectiveness of treatment of premature newborn infants with respiratory distress syndrome complicated by "ventilator-associated" pneumonia on the basis of correction of carnitine deficiency. We examined 80 premature infants with this pathology.

The various traditional systems such as Unani, Ayurveda and Siddha use several plant species to treat different ailments. The Unani (Greco-Arab) system of medicine has been practiced since ancient times for the treatment of range of diseases. Mako (Solanum nigrum) is an important plant in traditional medicines belonging to the Solanaceae family. The plant is cultivated throughout the country in dry parts, quite common in cultivated lands, road sides and gardens.

Background of the study: Self-esteem is fundamental component in psychological health and is affected with dynamics of physical exercise. And there is a close relationship between self-esteem and physical health. Individuals with a healthy self-esteem have a tendency to take care of themselves by eating well, exercising, and being good to themselves and others. This study will explore the effects of selected aerobic exercise programs on self-esteem.

Introduction: The success of periapical surgery is dictated by elimination of infected tissues and adequate apical seal. Among the various materials tested, MTA has shown good sealing ability and biocompatibility in previous studies. Materials like Biodentine, ESBCRRM have been introduced with the aim of overcoming some of the disadvantages of the MTA. Hence the aim of this study was to evaluate the sealing ability of Biodentine, MTA and Endosequence, as a root end filling material, using stereomicroscope.

Schwannoma, also known as neurilemmoma, is a benign peripheral nerve sheath tumor arising from Schwann cells. Schwannoma of ocular area are very rare with most common being in the orbit. The eyelid schwannoma are very rare with only limited number of cases published till date. Here we report a case of 26 year female who presented with a slow growing mass on upper eyelid since 10 years. Histopathological examination of the mass showed features of schwannoma. The lesion was positive for S100 on immunohistochemistry confirming the lesion.

Purpose: To compare surgically induced astigmatism between 2.8 mm and 3.2 mm superotemporal clear corneal incision in phacoemulsification with foldable intraocular lens implantation. Material and methods: A prospective study of 100 eyes of 100 patients undergoing cataract surgery were randomly divided in two groups of 50 each Group1-underwent phacoemulsification through 2.8 mm clear corneal inscision. Group II- patients underwent phacoemulsification through 3.2 mm clear corneal incision. Postoperative assessment visual acuity and keratometry was done at Day 1, week 1, week 6 and 3rd month.

Introduction: Cardiovascular diseases are currently the major cause of mortality and morbidity around the world. Among the CVD’s, coronary artery disease is the most common cause of deaths. Objectives: To elicit the lived experiences of patients underwent coronary angiography, to analyze the lived experiences of patients underwent coronary angiography, and to associate the lived experiences of coronary angiography patients with selected demographic variables.

In 1898 Banti described a disorder characterized by splenomegaly and hypersplenism, resulting in portal hypertension and anemia in the absence of hematological disease. It usually occurs around 3rd to 4th decade of life. It is known as non-cirrhotic portal hypertension (NCPH) in India and Idiopathic Portal Hypertension (IPH) in Japan. Hepatoportal sclerosis seems to be its counterpart in the United States. Banti's syndrome is a disorder of unknown etiology. It has been reported from Indian subcontinent.

The fishes of the family Carangidae, (Atropus atropos) commonly called as “Cleftbelly trevally” are distributed in the tropical and sub-tropical waters of the Indo-West Pacific region. The population parameters viz., growth, mortality, exploitation ratio and length at first capture were investigated to derive requisite information for their effective management. The von Bertalanffy growth equations were derived as Lt =26.25 [1-e –0.69 (t+0.2425)]. The annual total instantaneous mortality (Z), natural mortality (M) and fishing mortality (F) were assessed as 2.94, 2.34 and 0.6 respectively.

Complexities of the root canal anatomy make it complex for dental practitioner to correctly diagnose. The c-shaped canal is one of the rare anatomic variation which is mostly seen in mandibular second molars because of the shape of the canal and root. A profound expertise of the tooth, root and root canal anatomy is essential for the success of the endodontic treatment. This case report presents a rare root canal system in a mandibular second molar tooth, a single root with a single canal.

With a view to assess the coping strategies adopted by children with impaired hearing a qualitative research approach with exploratory survey research design was conducted to assess the coping strategies among children with impaired hearing. Non Probability Purposive sampling technique was used for selecting 100 children of age 10-16 years studying in various deaf schools of Pune city in India who were suffering from varying degree of hearing impairment. Data collection tool included self-structured questionnaire.

Horizantal gene transfer during which genes are inserted into a genome by viruses, plasmids, and other foreign agents at example of archaea and bacteria cells had been served a more important role in the formation of substrate - substance basis, leading to origin of species during bioevolutionary time, also leading to further creation of NCM medicine and integration of Traditional and Modern medicines, which lasted from October 06 was day (one day is equal to 42 million years) - 3,6 bya years ago until December 31-1:00 a.m (40 mya) first monkeys, 9:00 p.m (5-6 mya) first hominins, 10:30 p.m

Tripikon is a pipe usage model as a means of modified infiltration ditch as an effort of water pollution minimization. The purpose of this research was to analyze the decrease of Biological Oxygen Demand (BOD) and Most Probable Number (MPN) Coliform level of domestic waste in tripikon infiltration ditch at narrow field. This research was an experimental research with a group of pre and posttest design.

Background: The study aims the analysis of leadership in National Health System. The present study focused at exploring the leadership models based on the answers of Multifactor Leadership Questionnaire by medical and nursing staff at St. Panteleimon, General Hospital of Nicaea Greece. Methods: The Multifactor Leadership Questionnaire (M.L.Q) by Avolio & Bass was given and convenience sampling method was used on May 2018. The population of the study was 386 male and female, medical 179 and nursing staff 205.

This study focuses on the impact of mother tongue education in preventing language shift with reference to Silt’e. The goal of the study is to examine the relationship between social and linguistic factors in considering the causes and effects of language shift in the speech community. It used a mixed method concurrent design, and data were collected using questionnaires, interviews and focus group discussion. The finding showed that using mother tongue in education is not the endpoint in the development of a language.

Arrangement on the regional government-private partnership pattern is indispensable. In line with that, the ways to overcome the norms that arise in regulating such partnership pattern are also needed. This article aims to analyze the arrangement on the regional government-private partnership pattern and to find ways to overcome the problem of norms that arise in the arrangement of such partnership pattern. This is a normative legal research that employs statute and conceptual approaches.

The research study reveals that the achievement motivation of students at secondary level depends on their self efficacy. Achievement motivation is an individual’s desire for significant achievement. It is the driving force behind each action. Self-efficacy has a major role in determining the achievement motivation of the learner. The self belief of the students to manage difficult learning situations and the desire to satisfy the needs have a strong impact on the direction of their action.

University studentsare often viewed as being at higher risks to acquire STIs/HIV infection, and they are categorized under the ‘most at risk groups’. Hence, to tackle the problem of HIV/AIDS in university, designing HIV/AIDS prevention messages is mandatory. This study was made to assess Jimma’s University students HIV/AIDS prevention message framing preferences. To do that, out of total of 1290 third year students, 305 students were selected using Sloven’s sample size determination formula. Questionnaire and interview were used to get quantitative and qualitative data respectively.

To study has been undertaken to determine the impact of various factors on the firm and its relationship and impact of the dependent and independent variables on capital structure. Dependent-variables of Short-Term Debt-Equity Ratio, Long-Term Debt-Equity Ratio,-Total Debt Equity Ratio and Independent-variables profitability, Tangibility, Growth, Liquidity and Tax Rate.

School counselors use the available infrastructure to design, deliver and manage inclusive school counseling programs that are meant to promote student achievement. The counseling programs focus on academic, career, and social/emotional curriculum that is delivered through classroom lessons, small group, and individual consultation. Despite availability of Guidance and counseling programs and the available infrastructure students academic achievement has been unsatisfactory for a number of decades.

Financial resources allocated to guidance and counseling services help school counselors to design, deliver and manage inclusive school counseling programs that are meant to promote student achievement. The counseling program is meant to focus on academic, career, and social/emotional curriculum that is delivered through classroom lessons, small groups, and individual consultation. Despite such programs, various research studies have indicated cases of student unrest and poor performance in most schools in Kenya in the recent past.

Introduction: Otitis media with effusion OME, which refers to the accumulation of fluid in the middle ear cavity without any signs of acute infection. The aim of study is to determine the prevalence, the risk factors and treatment. Early detection of OME leads to obtain good result within short time and help children for retaining their normal hearing. Untreated OME leads to serious social complications to the child, school, teachers and society like loss of hearing, mental retardation behavioral abnormality, speech problem, learning problem and school performance.

The Word Child” means a human being of either gender especially one between infancy and youth. They are the most innocent and also loveliest creature of nature. A child today is a man tomorrow. They are the Country’s future. Everywhere in the society the child is well taken care, because the Country’s future lies on their healthy growth. Our mythology like Ramayana, Mahabharata, Vedas, etc also places the children in the throne of various Gods like Balgopal, Nandalal etc. As the children are innocent, tender in age, physically weaker, they cannot protect themselves.

OYO Hotels & Homes is one of the most exceptional hotel industry growth stories of recent years. OYO has raised massive funding from major players, namely Japanese conglomerate Soft Bank Group and the American company, Airbnb. The hotel chain now has over 1,70,000 rooms in India and claims it is witnessing a 3X growth in transactions year-on-year in the country. OYO rooms start at very affordable rates and the company earns a significant commission from hotel owners for the bookings done on its platform. By the end of FY 2018, its top line had scaled to Rs 415 crore.

India has a greater part of area, around 60.3 per cent land as agricultural land, according to World Bank, with 50 per cent population engaged in agricultural activities while over 70 per cent of the rural households depend on agriculture as their principal means of livelihood. Agriculture sector in India contributes 16 per cent - 18 per cent to GDP. In Tamil Nadu, agriculture is the most over riding sector in the economy. Tamil Nadu is the highest producer of bananas and coconuts in the whole country. The national output share of coconut is 29.1 per cent.

Although the Government of Kenya and parents value primary school education, disparities have continued to exist in academic performance in each school. Academic achievement of pupils in Kisumu West Sub County had remained low in comparison with other neighboring sub counties for the period 2011 to 2014, yet studies linking poor performance with level of education status of parents in this particular area of study were limited. Between 2011 and 2014, Kisumu West’s mean score was 243.17; Kisumu East 256.19; Kisumu Central 278.14, Nyando 248.66 and Muhoroni 258.46.

The occupation of parents is more or less synonymous with the socio-economic status of person thus more often than not people are distinguished and classified in society on the basis of occupation. In almost all cases people cherish their occupations or careers. Children also get more associated with parental occupations. This is because most friends of their parents to whom they are often exposed belong to the same occupation as their parents. It is therefore argued that occupation type plays a nature role in the lives and aspirations of children.

The Government of Kenya provides trained teachers and free primary education funds for each pupil in public schools, disparities have continued to exist in academic performance in each school. Academic achievement of pupils in Kisumu West Sub County had remained low in comparison with other neighboring sub counties for the years 2011 to 2017 yet studies linking poor performance with socio economic status of parents in this particular area were limited. Between 2011 and 2014, Kisumu West’s mean was 243.17; Kisumu East 256.19; Kisumu Central 278.14, Nyando 248.66 and Muhoroni 258.46.

The purpose of this study was to investigate the satisfaction level of the summer undergraduate students of wolaita Sodo University. The target population used were the senior (5th year) undergraduate summer students of the 6 departments of 3 colleges and 3 schools of Wolaita Sodo university. So that to manage the study and based on the nature of the study, purposive sampling techniques were employed for the selection of 60 students from 6 departments of the university and departments and colleges of the university.

The purpose of this study was to analyze the major factors for the ineffective implementation of continuous assessment and poor performance of students. Hence, in order to realize this overriding purpose, all the 3rd year senior students from colleges of engineering, natural and computational sciences, and Health and Medicine, instructors of these colleges were used as target population.

This study was aimed at analyzing value chain of wheat in Wenberma District in west Gojam Zone with specific objectives of identifying wheat value chain actors and their roles, examining the market performance of wheat in the value chain. The data were obtained from both primary and secondary sources. Using survey the data were collected from randomly selected 120 farmers and one processor, 39 traders and 10 consumers.

Ly-Tran dynasty (1009 – 1400 A.D.) was the peak period of Vietnamese feudalism history. It was also known as the golden age of Vietnamese Buddhism. Therefore, the finding of study aim on the explore influence of Buddhist culture in Vietnam during Ly-Tran Dynasty (1009-1400 A.D.), that finds absorbed and deeply influenced in Vietnamese culture.

Pain is often a major aspect of most patient’s health problems. It is not uncommon that doctors try to look for the best way to care for and treat their patients to make them comfortable by resolving these pain issues. Patients also look for the fastest and most effective ways to eliminate their pain to find relief from their discomforts. With this strong need for pain management, opioids have been the answer for many years and are being heavily prescribed by western doctors; unfortunately addiction problems have occurred.

The present study highlights the bioaccumulation of heavy metal and subsequent changes in the estuarine fish Liza parsia from Ashtamudi lake. The results of the present study on the quality of water and various aspects of L. parsia proved the grave situation of the lake. Morphology, biological constituents and reproductive organs of the fishes are greatly affected due to the pollutants. It will directly as well as indirectly affect the human being through the food chain.

The main objective of the current study was to examine the practices teaching English language skills via integrative language teaching approach in the actual classroom situation. For this purpose, Areka Preparatory School was selected as a research setting. Descriptive research design was employed for the current study. Besides, systematic random sampling was used to select sample of students. To collect the necessary data for the study, semi-structured interview for six teachers, questionnaire for one hundred seventy students, classroom observation and document analysis were employed.

Introduction: Cancer is describes as the disease that results due to cellular changes and these changes cause the uncontrolled growth and division of cells. A cell receives instructions to die so that the body can replace it with a newer cell that functions better. Cancerous cells lack the components that instruct them to stop dividing and to die. Chemotherapeutic drugs (CDs) are the most widespread worldwide modality used in cancer treatment, and other autoimmune diseases.

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