Primary hyperparathyroidism (PHPT) is a common endocrine disorder, with prevalence of one to seven cases per 1000 adults. It is believed to be the most common cause of hypercalcemia, predominantly affecting elderly populations and women two to three times as often as men. Here we report a case of 75 year old male who presented to Medicine OPD with complaints of constipation, abdominal pain and occasional irrelevant talks. Investigation showed hypercalcemia. PTH levels were markedly raised with borderline 1,25 DIHYDROXYVIT D. Patient was dialysed and managed conservatively. Later follow-up reports revealed microoadenoma and underwent surgery.

Acute myocarditis is inflammation of the myocardium most often following a viral infection. Its diagnosis is one of the most difficult to make with certainty in cardiology, due to the lack of specificity of the clinical presentation, ECG and ultrasound changes, and the restrictive use of myocardial biopsy (BM). For these reasons, we report the case of a 22-year-old athlete who presented with severe chest pain. Cardiac MRI allows direct characterization of myocardial damage; different diagnostic sequences make it possible to locate areas of inflammation, edema, and necrosis, and the distribution of lesions in the muscle makes it possible to distinguish between ischemic and inflammatory damage.

Recent food emergencies throughout the world have raised some serious ethical and legal concerns for nations and health organizations. While the legal regulations addressing food risks and foodborne illnesses are considerably varied and variously effective. The research uses a descriptive method is a method that examines the status of human groups, an object and a condition, a system of thought or an event in the present. It was conducted in North Sulawesi Province as the research location based on the reality in this area where there are markets that sell extreme animals. The results show that the highest causes of poisoning in North Sulawesi Province are animals, but in practice local government policies in food safety and the health right, especially those related to the sale and purchase of extreme animals in several traditional markets are still limited to appeals and statements that are not stated in written law and are not has sanctions so it does not have the power to be enforced. In order to accommodate the community's need for food safety and health, ideally, the policy should be in the form of a written law so that it can be enforced through the application of sanctions. Efforts to fulfill the community's right to food safety and health, it is necessary to establish a law in the form of a regional legal product that contains mechanisms, procedures, standardization and sanctions in the sale of extreme animals.

The research objective is to find out (1). The process of implementing learning in grade 7. (2). Teacher activities in conducting learning in class (3). The implementation can be felt directly by the students. The research method is (1). Survey directly to the field (2). Interviews with primary sources (3). Documentation and literature study. Conclusion (a). Prepare planning for the learning process during the Covid 19 (b) pandemic. Carry out the learning process and improve weaknesses in learning. (c). Observing and evaluating student learning processes (d). Face-to-face learning reflections that need to be evaluated are analysis, synthesis, and assessment of learning outcomes.

Background: Urinary tract infection (UTI) is among the most common bacterial infections and possess significant healthcare burden. Escherichia coli is the most common cause of UTI accounting for about 70%% and a variable contribution from Proteus mirabilis, Pseudomonas aeruginosa and Klebsiella pneumoniae Patients are often treated as soon as bacteria are shown to be present by microbiological culture. Objective: To assess THE PCR results among culture positive and culture negative specimens of suspected UTI patients. Methods: This study was carried out in the department of Microbiology, Mymensingh Medical College during the period from July 2016 to June 2017. Urine specimens were collected and isolationand identification of major uropathogens (Escherichia coli Klehsiella pneumonias, Proteusmirabilis, and Pseudomonas aeruginosa) were done by standard microbiological procedure a biochemical tests. PCR was performed by using standard protocol with species specific primer for detection of fimH gene for Escherichia coli, fimK gene for Klehsiella paeunomiae, UreCfor Proteus mirabilis, ETA for Pseudomonas aeruginasa. Results: Out of 250 urine specimens, 200 specimens were isolated and identified by culture and different biochemical methods which were supported by microscopical examination and at the same timePCR could detect species specific genes in 201 specimens directly from urine of suspected UTIpatient Escherichia coli was responsible as a leading causative pathogen in both outpatient department and in patient department with a higher prevalence of 71.8% for outpatient department. On the other hand Pseudomonas aeruginosa Profeus mirabilis and Klebsiella pneumonia were more prevalent in in-patient department and it was 21.1%, 5.6% and 5.5% respectively, Among the 50 culture negative urine specimens, 14 (28%) showed PCR positive for Escherichia coli, Klehsiella pneumonia and Pseudomonas aeruginosa. Conclusion: This study revealed that, the prevalence of UTI is high n MMCH Single pathogen base uniplex PCR was found superior than standard culture and less time consuming. Because uniplex PCR could detect many (28%) culture negative cases.

Gender-Based Violence (GBV) also known as Violence against Women (VAW), Intimate Partner Violence (IPV), or Domestic Violence (DV) is an age socio-cultural issue deep-rooted in African societies. Globally, Gender-Based Violence accounts for nearly one quarter of all recorded crimes. Gender-Based violence affects women in Africa irrespective of age, class, educational level and place of residence. The African society is inherently patriarchal. This is due to the influence of the various religions and customs practiced. Women are seen as inferior to men, and are regarded as property. This practice and mindset has been ingrained in the subconscious mind of the average African man. Consequently, Gender-Based violence has become entrenched and institutionalized. This paper examines Gender-based Violence in Africa (with emphasis on Nigeria and Botswana in the Sub Saharan African Region) and posits that such violence stems mainly from socio –cultural factors and lack of political will to implement effective laws that prohibit and punish GBV. Other factors that engender Gender-Based violence, like lack of awareness of rights by women, illiteracy, poverty, child/ forced marriage, substance abuse are also examined. Recommendations to curb violence against women in Nigeria, Botswana and Africa as a whole are underscored. This study employs the doctrinal research methodology.

This study examines the relationship between human resource forecasting and employee resourcefulness in an organization. The study is purely conceptual and thus largely adopted a desk research methodology. Literature review was carried out covering the theoretical conceptual and empirical review of the study constructs, dimensions and measures. The findings in extant literature of the study are that human resource forecasting positively and significantly improves employee resourcefulness in organization. Again, the dimensions of human resource forecasting; quantitative and qualitative forecasting positively and significantly enhance employee resourcefulness. The study therefore recommends that the organization should integrate human resource forecasting into the firm’s overall human resource management framework. This will significantly improve resourcefulness of employees at work.

Desmoid fibroma is a rare benign tumor of fibrous tissue characterized by a high potential for locoregional invasion and recurrence. The mandibular location of this pathology is exceptional. In our work, we report a case of desmoid tumor observed in a 9-year-old boy. Clinically, he presented a large right cheek swelling that was immovable relative to the mandible. The diagnosis was based on clinical, radiological and pathological arguments. There is no therapeutic protocol for desmoid tumors, but surgery is the most commonly used treatment. Chemotherapy, radiotherapy and hormonotherapy are used in addition to surgery or in some cases of inoperable tumors.

Vaccination is method used to protect against several disease. Therefore, mother must take care to vaccinate their children to protect them from these disease. The aim of this study was to assess mother’s knowledge of vaccination with children under the age five at Goz nafisa clinic, Omdurman, Khartoum stat, Sudan, during the period from march to may. The study included the “100”sample of mothers who attended the clinic during that period and then collected the data using questionnaire designed for study purposes. And then the analysis of the data using statistical package for social sciences. The result of the study showed that the age group from 30__40 ‘and their level of education was respectively 54%, 61%, of the study sample. The study showed that the mother with knowledge of the time of vaccination and types of vaccine, and knowledge of the symptom that occur after vaccination, and those who agree that vaccination protects against the incidence of disease were their proportion respectively 51%, 96%, 99% of the study sample. Also explained that mother who have knowledge of benefits of the vaccination, and the cases that not vaccine the child, and cases in which the child is vaccinated against measles at the age 6 month was respectively 79%, 80%, 12%. The study found that mothers had a moderate knowledge of vaccination time and type and good knowledge about complication can occur after vaccination. The study recommended establishing continuous health education program of all mother in the village.

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 three-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 three-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 a correlation coefficients of (0.92 – 0.95) was obtained, representing an accuracy of 94%, an ultimate result that demonstrates that actual dispersion in the pond is three-dimensional. The 3-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 were satisfactory.

Intravascular leiomyomatosis (IVL) is a benign pathology of the uterus. It is characterized by a leiomyocytes proliferation in the lumen of the myometrial and pelvic veins. Prognosis is related to its hormonal dependence and its potential vascular extension. Surgical excision must be complete to avoid recurrence’s risk. In the light of a 31-year-old nulliparous patient case report, with a pelvic mass developed at the uterus, which histological examination confirmed the IVL diagnosis, we will discuss the clinical, evolution, prognosis and management features of this rare variety of myoma.

The present paper focuses on Sino- Latin America and the Caribbean, (LAC) radical profitable continental relations of the South-South relations with exploitative agenda based on win-win diplomacy in the aftermath of terrorists attack of a Hyper-Super Power and subsequent recognition of Chinese Global Economic Strength (CGES) from the beginning of the 21st Century. The historical challenges in the contemporary World ended up with the admission of China as a member of the World Trade Organisation (WTO) headquarters in the New York City of the United States of America. The main objective is to bring out specific mechanisms used by China to consolidate her relationship with LAC bringing out the potentials of the thirty three countries of the region perceived by Chinese investors and heavy industries in quest of raw materials and available markets for the final products. Therefore, New Peking Consensus of win-win Going Out policy goals vis-à-vis the outdated Washington Consensus proved to be more realistic in the region than those manifested in the previous Centuries by Western capitalist countries in relations to late 19th Century Monroe Doctrine. The scrutiny of primary and secondary sources with evidences collected from Government documents made available online, specialized research papers and related articles enabled the used of historical analytical approach to illustrate the visibility of new strategy of Sino-LAC during the first two decades of the 20th Century making China an unchallengeable position of a Hyper-Economic Power (HEP) vis-à-vis USA in political economy as one of the most powerful existing Communist World.

This research is focused on biogas production from two substrates; cow dung and tomato waste for co-digestion process. A laboratory digester was constructed in the form of modular digester. The pressure reading indicates the presence of gas which confirms that it is possible to produce useful gas from slurry and vegetable waste mixed together. In an instance where this waste was not collected and digested, it is sure that there would be emission of gas into the atmosphere. With the waste management process, the gas emissions and smell intensity is reduced. Although this was done in a small scale because of research purposes, it can also be done in large scale for commercial purposes based on preference. The production was carried out with a pressure gauge during the construction of the digester. This serves as an alternative for gas collection in a gas holder/ tyre tube which is a more efficient way of detecting the presence of produced gas in the system. For faster yield of gas, the production was done in a thermophilic condition, at higher temperature range. Adequate methane gas was produced with co digestion of substrates at balanced ratio of mixture.

This study aims at identifying the potentially viable renewable fuel resources, characterizing the combustion properties of each and to determine those that have potential for use as commercial fuels for domestic and industrial uses. Twenty-three (23) fuels were identified and studied by characterizing their combustion properties viz; calorific value. Also their availability and ease of preparation were studied. As a result of the tests, ten (10) of the twenty-three (23) fuels have been recommended as suitable for exploitation for domestic or industrial uses. Also, it has been recommended that project titles be initiated on the development of systems (equipment) to utilize these recommended fuels.

The associations between Bisphenol A (BPA) exposure with prolactin and progesterone hormone levels is been considered globally. A three months study was conducted with female albino rats exposed to BPA. The blood samples were collected for assay of prolactin (PRL), and progesterone (PROG). A significant positive association between increased BPA concentration and higher PRL and PROG levels were observed. The results suggest that BPA exposure may lead to alterations in female reproductive hormone levels.