Background: The term urethral stricture refers to anterior urethral narrowing or a scarring process involving the spongy erectile tissue of corpus spongiosum. Urethral stricture is one of the most important causes of bladder out flow obstruction. There are different treatment modalities for the management of stricture urethra. Both the patient and the physician must have a good understanding of the procedure & outcome of treatment. Different types of tissues are standardized by different surgeons. Each type of graft has its own procedural advantage and disadvantage. So it is recommended to select the case for a particular type of graft. But it is evident that judicious use of specific graft has almost equal outcome. Aim: To see outcome of substitution urethroplasty in the management of long segment anterior stricture disease, to study the improvement of clinical manifestation (poor flow, narrow stream, double stream) following surgical correction of stricture urethra And to see the change in uroflowmetry following surgical correction of stricture urethra, to study the post-operative complication. Methodology: This study comprises of 50 consecutive cases of anterior urethral stricture who were admitted in department of urology Enam Medical College and Hospital from January 2018 to January 2021. All patients were attended in urology outpatient department. They were worked up properly and previous treatments were thoroughly analyzed. All of them were appropriately treated with reconstruction. The total study population was 50 patients aged 20-50 years. Results: The total study population was 50 patients aged 20-50 years, 8(16.0%) patients had 20 years to 25 years, 16(32.0%) patients had 26 years to 30 years, 10(20.0%) patients had 31 years to 35 years, 8(16.0%) patients had 36 years to 40 years, 3(6.0%) patients had 41 years to 45 years and 5(10.0%) patients had 46 years to 50 years. Average Mean value of Peak flow rate in first month in 50 patients was 29.78ml/sec. Cystoscopy was done in all patients in 3rd month to see the anastomotic site. After six months of follow up only two patients had complaints of obstructive symptom. Uroflowmetry showed peak flow rate less than 10 ml. Here we did cystoscopic examination. And stricture segment was identified proximal to the previous site which was managed by OIU. After that no such obstructive flow was reported by those patients. Retrograde Urethrogram was done in all the patients to see caliber of urethra. In case two out of 50 showed recurrence in RGU with MCU. Conclusion: This study showed better outcome than any other conventional method for the treatment of stricture urethral disease. So, it can be concluded that substitution urethroplasty is the treatment of choice for the management of long segment anterior urethral disease.

Background: A molar pregnancy is also known as hydatidiform mole which is a benign tumour that develops in the uterus. It begins when an egg is fertilized but normal viable pregnancy not occurs, rather than the placenta develops into an abnormal mass of cyst. In all cases of molar pregnancy observation is essential to detect the reawakening of chorionic activity. Objectives: The aim of the study was to explore the incidence, clinical presentation, management and outcome of the molar pregnancy in our hospital. Materials & Methods: This prospective study was conducted in Faridpur Medical College Hospital, Faridpur, Bangladesh and Bangabandhu Sheikh Mujib Medical University Hospital, Dhaka, Bangladesh. Over a period of one year from August 2005 to July 2006. 50 consecutive patients attended the out-patient’s department (OPDD) of obstetrics & gynaecology and were admitted in the department of obstetrics and gynaecology of these two hospitals during this period, were taken as the study population. All pregnant women who were diagnosed as molar pregnancy were included in the study. Other necessary investigations were done if clinically indicated and to prepare the patient for anesthesia. Statistical analysis of the results was obtained by using window-based computer software devised with Statistical Packages for Social Sciences (SPSS-22). Results: During this period total 6550 pregnant patients and 420 patients with abortion and 85 ectopic pregnancy were admitted in both of the hospitals 50 of them were suffering from gestational trophoblastic diseases. So, incidence of gestrational trophoblastic disease was 7.08 per thousand pregnancies. Conclusion: Results from this study showed that a small portion of patient of molar pregnancy came for routine follow up. To achieve high cure rate and low chemotherapy rate an effective registration programme and treatment protocol should be established.

Background: Ovary is a very common site for tumors, both benign and malignant which causes great morbidity and mortality. Ovarian tumors most commonly occur in women of childbearing age. The ovarian tumors manifest a wide spectrum of clinical, morphological, and histological features. The proper management of the patients with ovarian tumor directly depends on the clinical profile the respective patients. Aim of the study: The aim of this study was to evaluate the clinical status of ovarian tumor patients attended a tertiary care hospital in Bangladesh. Methods: This cross-sectional observational study was done at Rajshahi Medical College and Hospital, Rajshahi, Bangladesh during the period from December 2017 to November 2019. In total 240 women with ovarian tumor from several age groups were enrolled as the study people. In each case, information about the patient was collected in a prescribed questionnaire after getting written consent from the patients in a preformed consent form. Results: In analyzing the previous family history of cancer, we observed among total participants only 18% (n=43) had the positive family history of cancer. As the habit of using contraceptive methods we found, the highest number of patients were used to Barrier method (20%). Besides this, 15%, 5%, 11% and 2% participant were using injectables (Irregularly), Natural method, OCP irregularly and Calender method as contraceptive methods respectively. In this study, two third of participants were multipara and the rest one third were nullipara. In analyzing the histopathology reports of participants, as some most potential and/or frequent characteristics we observed mucinous cyst, endometrioma, serous cyst adenoma and dermoid cyst were found among 26.67%, 18%, 16.67% and 13.33% participants respectively. Conclusion: From our study we can conclude that, ovarian tumors are most commonly occurred in middle aged women in the middle-income group. Parous women are most vulnerable in condition for affecting ovarian tumor. Clinical profiling of patients may be helpful in treating and preventing ovarian tumor as well as in awareness building on ovarian tumor to mass people.

Waste stabilization ponds (WSP) are used extensively to provide wastewater treatment throughout the world. A review of the literature indicates that, understanding the hydraulics of waste stabilization ponds is critical to their optimization, the research in this area has been relatively limited and that there is a poor mechanistic understanding of the flow behavior that exists within these systems. This explains why there is no generally acceptable model for predicting its performance. The two-dimensional computational fluid dynamics (CFD) model developed in this study was extensively tested on the waste stabilization pond located in the campus of the University of Nigeria, Nsukka which was used as the field pond and also on a laboratory scale waste stabilization pond obtained from literature. Although the model may be solved by several methods, this research was limited to computational method; numerical solution using finite difference method was used in solving the two-dimensional partial differential equations at steady state conditions. In order to validate the quality of the model, its results were compared with the experimental data from the field and the lab-scale ponds. The results obtained were encouraging, prediction of pond performance with measured values shows that correlation coefficient of 0.82 was obtained, representing an accuracy of 82%. The 2-D model was then used in series of investigative studies such as; effect of single inlet and outlet structures at different positions in the pond, effect of multiple inlet and outlets on the pond’s performance, variation of pond performance with depth, effect of short-circuiting on pond treatment efficiency, effect of baffles on pond performance using laboratory-scale pond data and comparison with tracer studies. In all, the results agree with literature.

Introduction: Embryo culture allows us to culture embryos to the blastocyst stage. Prolonging the duration of culture to day 5 allows chromosomally competent embryos to develop to the blastocyst stage and permits selection of embryos that have the potential for continued development under embryonic genomic control. Objective: To evaluate the efficacy of blastocyst transfer in comparison with cleavage stage transfer. Methods: A randomized, prospective study was conducted in International Fertility Center, Delhi, India on 300 patients aged 25‑40 years undergoing in‑vitro fertilization (IVF)/ intra‑cytoplasmic sperm injection (ICSI) cycle from March 2019 and February 2020. When three or more Grade‑I embryos were observed on day 2 of culture, patients were divided randomly into two study groups, cleavage stage transfer and blastocyst transfer group having 150 patients each. Primary outcomes evaluated were, Clinical pregnancy rate and Implantation rate. The results were analyzed using proportions, standard deviation and Chi‑square test. Results: Both the groups were similar for age, indication and number of embryos transferred. Clinical pregnancies after blastocyst transfer were significantly higher 66 (44.0%) compared to cleavage stage embryo transfer 44 (29.33%) (p< 0.01). Implantation rate for blastocyst transfer group was also significantly higher (p< 0.001). Conclusion: Blastocyst transfer having higher implantation rate and clinical pregnancy rate lead to reduction in multiple pregnancies.

Cemento-osseous dysplasia is a non-neoplastic condition in which a normal bone architecture is replaced with cemento-osseous tissue. It is a benign fibro-osseous lesion of the jaws associated to root apexes and containing amorphous calcifications which would correspond to cementum. They are classified, according to their extent and radiological appearance, into three main groups: peri-apical, Florida and focal cementitious dysplasia. Moreover, two forms can be described for Florida cemento-osseous dysplasia (FCOD): symptomatic, which is the most frequent, and asymptomatic. The treatment differs according to the form. Indeed, in case of symptomatic lesions, surgical management can cause the loss of interrupting substance. It must be completed by a prosthetic rehabilitation that allows the patient to resume his mandibular functions, especially mastication. In our work and through a clinical case, we will highlight the steps of the prosthetic rehabilitation of a loss of non-interruptive mandibular substance following the removal of a bone sequester caused by cemento-osseous dysplasia.

The triad of uterine didelphys, obstructed hemivagina and ipsilateral renal anomaly known as OHVIRA syndrome, formerly known as Herlyn-Werner-Wunderlich syndrome, is a rare congenital urogenital malformation. It represents a diagnostic dilemma because of the regular menstruation and nonspecific abdominal pain. We present the case of a 13 year old pubertal girl presenting with severe dysmenorrhea. After evaluation with history and investigations she was diagnosed to have bicornuate uterus with hematometrocolpos, left sided hematosalpinx and left renal agenesis. After laparotomy she was diagnosed to have uterine didelphys with left sided hematometra, hematocolpos and ahematosalpinx due to left sided obstructed hemivagina and left renal agenesis (OHVIRA Syndrome). Surgery was done by abdominoperineal route. She had drainage of hematometra, hematocolpos and hematosalpinx and repair of obstructed hemivagina through perineal route. In conclusion, awareness of such anomaly is a prerequisite to early and prompt diagnosis. Surgery should not to be delayed after diagnosis of OHVIRA syndrome, so that complications can be avoided and reproductive function can be preserved.

The aim was to assess women's knowledge and attitudes towards cervical cancer. Materials and methods: This was a descriptive study of transversal type from March to October 2018, i.e. a period of eight months at the reference health center of commune VI. Results: During the study period from March to October 2018, we registered 100 women who agreed to participate in the study as part of cervical cancer screening. The 18-30 age group was the most represented (64%) with extremes of 18 years and 65 years. The average age was 37.90 ± 0.66 years with extremes of 18 years and 65 years. Multiparous people were the most represented with a rate of 37% of cases. Women in school were the most represented with a rate of 67% of cases. Attitudes aspects: Women were in favour of systematic research into cervical cancer with a rate of 68%. Cervical cancer is known as a serious disease by 53% of women. Practical aspects: Cervical cancer screening was not carried out with a rate of 63% and the most cited reason for this non-practice was the lack of information. Thus, the practice of screening depended on information. Cervical cancer screening was more common in the 18-30 age group. The attitude depended on practice as 52% of women who considered cervical cancer a serious disease were in favour of routine screening. Practice depended on knowledge with a statically significant test. Conclusion: Visual inspection methods are simple, inexpensive tests that are easily acceptable to women and the result is systematic at the end of the examination; allowing for effective detection of precancerous lesions of the cervix. However, more than the majority of the women surveyed had no information on screening.

Background: A structured faculty training method is needed to effectively train the medical teachers. Microteaching is one of the teacher training techniques for imparting teaching skills to the teachers. This study aims to assess the effect of improvement of teaching skills by self/peer evaluation of microteaching technique. Materials and methods: Thirty faculty from different departments with less than five years of teaching experience participated in the microteaching session. The session was videotaped and played back to the presenter. The presentation was evaluated by the faculty themselves and also by the peers using the checklist (NTTC JIPMER). After obtaining the constructive feedback, the participants were asked to do a repeat session on the same topic within a week and the same procedure was followed. Results: There was a statistically significant improvement of the post mean scores of all parameters assessed when compared to pre mean scores. Post mean score improved by 149% for aroused interest in the topic, 119% for organized materials in logical sequence, 204% for changing the pace of presentation by shifting emphasis and 246% for interaction during presentation. The Pre/Para-clinical faculty performed well when compared to clinical faculty both before and after the feedback. Conclusion: Self-assessment by digital video recording playback and also peer guidance helps to enhance their skills acquisition. Peer microteaching sessions must be conducted for early beginners in the department and introducing microteaching methods in post graduate curriculum would improve the teaching skills. Well-equipped microteaching laboratory is needed for microteaching programmes in all medical colleges.

Basal stem rot disease in pepper caused by P. capsici is the ultimate disease which can lead to the death of the plant. Trichoderma sp. produces secondary metabolite which is effective for controlling this disease. To know the effectiveness of Trichoderma sp. secondary metabolite, the experiment with different concentrations placed in the polybag to control basal stem rot disease in pepper was conducted from March to June 2020 at UPTD Pengembangan Perlindungan Tanaman Perkebunan (P2TP), Plantation Office, East Borneo. A completely randomized design with five treatments and ten replications was applied in this experiment. The data were analyzed using analysis of variance. If there is a significant difference, the test will continue at the least significant difference of 5%. The study entitled “The Growth of Pepper Seeds Attacked by Basal Stem Rot Disease (Phytophthora capsici) on Application of Trichoderma sp. Secondary Metabolite” concluded three main points. First, based on the intensity of disease attack, the average of both shoot internode number and shoot internode length of Trichoderma sp. secondary metabolite was mostly effective to control the disease attack or at MS20 concentration namely 88.06% of the intensity of disease attack. Second, based on the average number of leaves, MS5 concentration was able to control the disease progression by calculating the number of grown leaves, around 75.40 leaves. Last, based on the growth of the plant, the effective use of secondary metabolite was at MS10 concentration with the height of the plant 71.50 cm.

Mesenteric cystic lymphangiomas are rare benign lesion of lymphatic system occurring in children. They are common in males with a median age of presentation of 2 years. It can either be asymptomatic or present as acute abdomen when the mass produces intestinal volvulus. It is often confused with mesenteric cyst both clinically and radiologically. The true nature of lesion is revealed on histopathological examination. We report such a case in a 3 year old boy who presented with complaints of abdominal pain and distension, which on evaluation thought to be mesenteric cyst which was excised and turned out to be a cystic lymphangioma in histopathological examination. Establishing the lymphatic nature is also important owing to the development of targeted therapy for aggressive and recurrent lesions. Immunohistochemistry, hence, hold an important role in this characterization and is expected to rise in significance in the future.

Aim: To review different methods determining the width and proportion of the maxillary anterior teeth. Materials and methods: The relevant articles were obtained from the databases of PubMed, Medline, Google scholar and Scopus index by searching keywords “Esthetic dental proportion,” “Esthetic dental measurement.” and “Esthetic dental proportion and esthetic dental measurement in smile designing” Results: The present review explains the different methods of esthetic dental proportion and measurements to obtain the adequate width of the maxillary incisors. These play a pivotal role in smile designing. The present review also explains various clinical studies which compared different methods under varied clinical instances and gave proper application of each proportion proposed. The present review also explains the upper smile line and the lower smile line in the smile design to obtain a more esthetically pleasing smile. Conclusion: The method used for determining the adequate method of proportion varies among different individuals based on the clinical aspects. The smile line is an important factor to be considered that comprises a natural esthetic smile.

This study focuses on providing enterprise solutions through ongoing maintenance, enhancement, and upgrading at all stages of their talent pool. Leadership as a core intervention to address Infosys' HR problems is the subject of this study. This report Infosys is an IT service giant, and keeping its talented employees is crucial for the firm. Human resources carry the organization's overwhelming market value to the world's businesses. In this case study, we first analyzed the organization. We established its biggest problem: its elevated turnover rate, followed by a few suggestions to consider the importance of successful top Management in fostering confidence in the current workforce. Infosys employs a competency system to recruit and promote staff, which assesses their expertise and abilities through various assessments. Create more challenging metrics for results. Correct information in science and technology and systems engineering, leadership, process improvement, and so forth would be offered. In particular, a promotion and acknowledgment were for the successful development plan. Initially, the SWOT analysis will be applied to Infosys, based on an examination of the competitors. In the following section, the discourse on the form of procedure introduced will be evaluated. In the final chapter, main recommendations will be provided to make it possible for the firm to resolve its study posits.

Background: Substance abuse refers to the use of all chemicals, drugs and industrial solvents that can produce dependence (psychological and physical). It can also refer to repeated non-medical use of potentially addictive chemical and organic substances. According to UNICEF and WHO, substance abuse includes the use of chemicals in excess of normally prescribed treatment dosage and frequency, even with knowledge that they may cause serious problems and eventually lead to addiction. Hence, this study was done to determine the prevalence of substance abuse among students in University of Port Harcourt host’s communities. Materials & Methods: The study was a descriptive cross-sectional study carried out in ALUU Community in Ikwerre Local Government Area of Rivers State. The study involved 150 volunteers recruited randomly through a multi-staged sampling technique which included secondary school students, undergraduates and post graduates who are 13yrs and above residing in ALUU community while, those who did not give consent were excluded. The data was collected using a self-structured close-ended self-administered questionnaires and data analysis done using SPSS version 25. Results and Discussions: The most frequent age category was 20-24years (42.67%), while the least frequent category was 10-14years. The most frequent gender (sex) was the males (71.33%); the most frequent educational level was undergraduate 84.67%. The study again showed that the most commonly abused substances by students were alcohol 90.57%, Nicotine 39.62%, while the least abused drugs were heroin and cocaine being 1.89% respectively. The prevalence of drug abuse seen in the study was 35.33%. Moreover, the distribution of known acquaintance of persons who abuse drugs was 78.67%. Conclusion: The prevalence of drug abuse seen in the study was 35.33%. Peer group, neighbourhood influence and parents habits of drug/substance abuse were the attributed contributing factors to the prevalence of drug/substance abuse amongst students in Aluu.

This article investigates the impact of governance mechanisms on the management of accounting results. We examine both the influence of board characteristics (the size of the Board of Directors, the dual-rule of the Chief Executive Officer, and the presence of an audit committee) and the ownership structure (capital concentration and nature of shareholders) on the management of the accounting results measure by the appreciation of expenses, selling of asset and the reevaluation of assets. From the association and regression tests on the data collected by a questionnaire on a sample of 41 companies in Cameroon, the statistical analyzes confirm one of our hypotheses by indicating a significant relationship between the management of result and state ownership.