Adult cervicofacial cellulitis is most often from a dental origin or infectious, but in some rare cases, it can be paraneoplastic or from a tumor. We report the case of a 31-year-old young man who presented with right cervical cellulitis associated with bilateral thyroid nodules classified TIRADS 4 and associated thymic hyperplasia. In this observation, the diagnosis of Hodgkin lymphoma (HL) was not initially made due to a diverse clinical semiology associating several diffuse cervical lesions, and an infectious context contradictory to the presentation typical of isolated peripheral cervical lymphadenopathy. Thus, the etiology of HL should be kept in mind when considering head and neck cellulitis.

Among many problems that the Indonesian Judiciary practice has encountered, one problem that has been persistently discussed is regarding whether or not can the status of a suspect be used as a pretrial object outside of Article 77 letters (a) and (b) of the Criminal Procedure Code, either through pretrial judge decisions or decisions of the Constitutional Court. From these problems, the author formulated a study on what are the Impact of the Decision of the Judge Adjudicating the Pre-Trial Session outside the Reasons stipulated by law and how the reconstruction of regulations on the authority of judges in adjudicating justice-based pretrial applications can be realized. The research method used is juridical empirical combining doctrinal and non-doctrinal approaches, by operating legal principles and norms to see the normative dimensions of judge's decision, combined with the assumption approach that statutory regulations, including judge's decision, are not under empty space, but exists in a complex reality. The result shows that the legal function established by the Criminal Procedure Code is directed at realizing legal certainty rather than justice so that judges tend to obey conventional procedural law rather than having to be progressive. The limitations of pretrial authority and the lack of courage of judges to protect the rights of suspects have made pretrial institutions less able to protect suspects from possible violations of their juridical rights. To overcome these problems, reconstruction is carried out by clarifying and amending the joint decree (SKB) of the Chairman of the Supreme Court of the Republic of Indonesia and the Chair of KY RI No. .047 / KMA / SKB / IV / 2009 and 02 / SKB / P.KY / IV / 2009 in addition to add one provision between letter b) and letter c) to Article 82 paragraph (1) of the Criminal Procedure Code, and adding 2 (two) paragraphs in Article 1 number 10 in conjunction with Article 77 KUHAP jo. The Decision of the Constitutional Court No.21 / PUU-XII / 2015, by means of reasoning or interpreting a contrario (In Contrary) to the provisions of Article 1 point 10 jo. Article 77 KUHAP jo. The existing Constitutional Court Decision No.21 / PUU-XII / 2015.

The Intrauterine Device is a means of contraception with an efficiency of over 98%. We report the case of a viable pregnancy with an IUD and the risks involved.

The purpose of this study was to determine the influence of role ambiguity, job stress and leadership quality on job satisfaction and employee turnover in PT. BRI Syariah Bank Samarinda. The study was conducted on 89 respondents, based on the distributed questionnaire results, it can be seen that the number of respondents who will be analyzed are 89 respondents. Using Partial Least Square (PLS) which supported by the WarpPLS program. Data analysis is carried out in two stages, assessing the outer model or measurement model and assessing the inner model or structural model. The findings shows that role ambiguity has significant negative correlation with employee job satisfaction, job stress has significant negative correlation with employee job satisfaction, leadership has significant positive with job satisfaction, role ambiguity has significant positive correlation with employee turnover, job stress has significant negative with employee turnover, leadership has significant negative correlation with employee turnover, job satisfaction has significant negative correlation with employee turnover.

The provisions for the formation of a Notary's position as regulated in Law Number 2 of 2014 concerning Notary Office basically need to be used as an additional requirement for the appointment of a Notary, so that it cannot create multiple interpretations between the terms of the appointment of a Notary and the provisions for the formation of a Notary's position. Therefore, it is necessary to make a study that examines the weaknesses of the zoning arrangement for notary positions in Indonesia at this time and how to reconstruct the zoning arrangements for a notary position in Indonesia that is just studied using the socio-legal approach method, namely by conducting reciprocal research between law and non-doctrinal institutions. is empirical/ social in analyzing legal principles that apply in society. The results showed that the arrangement of zoning expansion of notary positions in Indonesia has not been able to solve the problem of equal distribution of notaries. Permenkumham Number 27 of the Year 2016 concerning Formation of Notary Positions and Determination of Regional Categories. The minister's authority to appoint notaries in certain districts/ regions is limited according to the existing formation. Constraints and solutions in the arrangement of zoning for notary positions in Indonesia that the placement of Notaries is in accordance with their designation, due to the fact that the submission of work placements by Notaries is not evenly distributed, many Notaries ask for formations in big cities only, Notaries rarely apply for placements in small cities, To overcome this the Government issued a regulation, namely Decree No. M.01.HT.03.01, of the Year 2003, Concerning Notaries Article 5 in conjunction with Decree No.M.01.HT.03.01, of the Year 2006 concerning Terms and Procedures for the Appointment, Transfer and Dismissal of Notaries. Seeing these problems, the Reconstruction of zoning expansion arrangements for notary positions in Indonesia based on the value of justice is needed. Namely by realizing the distribution and distribution of notaries in every district or city that is good and correct according to the needs of the community.

Helicobacter pylori infection, in patients with classic risk factors of coronary heart disease, can present with typical clinical manifestations of ischemic heart disease without characteristic electrocardiographic changes or elevation of serum cardiac biomarkers. H. pylori does not participate in the initiation of inflammatory process of coronary atherosclerotic plaque. Instead, a commensal bacterium increases the coronary blood flow even in presence of classic risk factors of coronary heart disease. Under certain circumstances, Helicobacter pylori may aggravate an already existing inflammatory atherosclerotic process of coronary vasculature with consequent rupture and development of ischemic heart disease. This is in analogy with the physiologic role of platelet in primary haemostatic plug versus its undesired role in formation of vascular thrombosis. The factors that lead to shifting of Helicobacter pylori from a commensal promoter of coronary blood flow to a pathogenic organism activating the inflammatory response of atherosclerotic plaque remain to be elucidated.

The paper deals to minimize the water crisis of a drought prone area in Bangladesh. In this research an alternative and low-cost effective cultivation method has been developed. In the technique a composition of traditional agricultural fertilizers (Agronaris, DAP, MP, Dolochun, Gypsum, Magnesium Sulfate and Iron Sulfate), cow urine and pond water has been used as nutrient medium. For medium of cultivation recyclable bottles, foams, bamboo, coco coir, semidried Eichhornia leaves were used. Tomato (Lycopersicon esculentum Mill.); Pepper (Capsicum); Lettuce (Lactuca sativa) were used as experimental plant. Plant survival rate of tomato showed highest value of 92.86% respectively followed by lettuce with 78.57% and pepper with 42.86% in value after 2 months of observation. Growth rate and hairy root formation were found to be higher in tomato than lettuce and pepper. Pepper showed less response in these three parameters where maturation rate of pepper is better than Tomato as pepper needs 39.33±0.49 days to ripen the fruits but tomato took 47.5±0.39 days in fruit ripening. Though tomato takes more time to be mature than pepper, the growth of the both plants are as same.

Aim and Objective: This study was conducted with the aim to estimate the prevalence of malnutrition and associated factors among children under 5 years of age in Frash Town Islamabad. Methodology: It was a cross sectional descriptive study. 400 children under 5 years were selected by using non probability convenient sampling. Analysis: Descriptive statistics was used to find the frequencies and percentages while inferential statistics was used to determine the association between nutritional status of under 5 children and different variables. Results: Out of 400 subjects, 21% had normal nutritional status 20% were at risk of malnutrition and 77% were found to be malnourished. Statistically significant relationship was found between nutritional status of under 5 children and socioeconomic status, parent’s education. Conclusion: Overall results showed that 77% of the children under 5 were malnourished. There is a need to plan composite interventions to elucidate the factors that place children at greater risk for malnutrition.

The implementation of legal protection for debtors in the execution of the mortgage guarantee object in Indonesia is currently not able to realize justice, therefore it is necessary to conduct research to examine what its weaknesses are and how to reconstruct legal protection for debtors in executing the object of guarantee of mortgage rights based on Pancasila justice. The research method used in this article is a non-doctrinal method with a constructivist paradigm. Based on the research conducted, it was found that the execution of the object of the guarantee of mortgage is not yet fair, this is because the Parate execution as intended in Article 6 of the UUHT has resulted in loopholes for the occurrence of misuse of the situation by the creditor to the debtor which will ultimately harm the debtor which resulted from the weakness of the execution of the object of guarantee of mortgage rights in Indonesia currently is in the implementing regulations of Article 6 of the UUHT using implementing regulations in the form of Minister of Finance Regulation Number 27 / PMK.06 / 2016 which is not recognized in the UUHT and also contradicts the terms of execution according to HIR. in order to solve this, a reconstruction of law is needed in the form of a regulation which oblige them before conducting the auction, to transform the property rights in to collateral property.

Objective: describe the therapeutic modalities and surgical management of children with giant cystic lymphangioma. Materials and methods: These are two cases of a child with congenital giant cystic lymphangioma, respectively 14 months and 2 years old, treated in the otorhinolaryngology and neck and neck surgery department at the university hospital in rabat. Conclusion: Cervicofacial cystic lymphangiomas are benign tumor malformations of congenital origin. Their pathogenesis remains debated, the centrifugal theory being the most accepted. Their suspected positive diagnosis on clinical examination and medical imaging can only be confirmed by intervention and histological examination of the surgical specimen. Thanks to recent clinical-radiological staging, their management may involve surgery or sclerotherapy, depending on the indication. Without being a neonatal emergency, in general, the intervention must be early and complete, as the tumor is progressive, to ensure complete healing and the absence of recurrence.

Globally, a mental disorder is identified as one main disorder that impends human existence consequently with an increasingly burdensome problem, causing victims many years lived with disability. Though the experience of mental disorder is universal, and the interpretation of the experience, notions of causation, treatment, and preferred source of care, varying from one culture to another. This study examines experiences of traditional medicine utilization among persons living with mental disorders within the community with the lens of phenomenological research design. It involved 13 participants and with the use of a structured interview guide as an instrument for data collection. Data were audio-recorded and thematically analyzed using the four phases of phenomenological explication. Thirteen participants comprised two patients recovering from mental illness, two herbalists, one faith healer, and eight family caregivers to patients. Participants were within the ages of 20-above 50years of age. Eight males and five females participated in the study. Most of the participants had an O-level certificate, were mostly farmers, were Christians, and spoke the local Ukawani language. Results from the study were under three main themes, firstly on the pattern of utilization which revealed that persons living with mental disorders in Obiaruko Community, Delta State reported the use of traditional medicine. Secondly on commonly used traditional medicine which includes herbs, prayers, and spiritual healing/cleanings, and thirdly, on factors influencing use which indicates that decision to use was based on the belief on the perceived effectiveness of traditional medicine. The main cause of mental disorders identified by participants was spiritual, evil spirit, and ancestral involvement. It is recommended that Federal and State Government guidelines and legislature be made for improved and applied utilization of traditional medicine and nurses should actively participate in improving mental health services particularly at a community level.

This article shows John Maxwell Coetzee’s shift from literary themes such as racism, discrimination and alienation to imaginative literature. The author tackles love, sex, parents-daughter issues, etc. In In the Heart of the Country (1999) [1], Coetzee presents Magda, an old South African woman who lives in her father’s isolated farms and who wants to “love and be loved”, to “need and be needed”, to cover and be covered. This old spinster yarns to be a human being before being a woman. Magda’s loneliness and madness are engendered by the death of her mother while she gives birth to an heir son to her husband. She also kills her father after having sexual intercourse with his female servant, Klein Anna.

Cornual pregnancy is uncommon among ectopic pregnancies. A diagnosis of cornual pregnancy remains challenging, and rupture of a cornual pregnancy causes catastrophic consequence due to massive bleeding. The purpose of this study is to determine the contribution of imaging in the early diagnosis and management of this rare entity, in order to avoid complications.

Renal neoplasms are one of the most common cancers contributing to significant morbidity and mortality. In patients undergoing nephrectomy for renal neoplasm, the structural integrity and function of contralateral kidney assumes extreme importance. Non-neoplastic renal tissue accompanying the tumour provides an opportunity to recognize non neoplastic pathological changes and to identify patients at risk for progressive renal disease after nephrectomy. The purpose of this study is to evaluate the spectrum of non-neoplastic lesions in tumour nephrectomy specimens. We reviewed the hematoxylin and eosin stained slides of 100 tumour nephrectomy specimens with our emphasis on studying the non-neoplastic renal parenchyma. Our study revealed significant non-neoplastic lesions in 76 of the total 100 specimens evaluated with Diabetic Nephropathy being the most common (36%). Identification of renal non-neoplastic pathology may lead to initiation of medical intervention and can facilitate early preventive and treatment measures ensuring better quality of life for the patient.

Some formulations possess the ability to stimulate or suppress immune system thus may be important in controlling various disease condition or lead to undesirable prospect. Studies on immunomodulatory agent can leads to isolation of acceptable and reliable pharmacological agent with wider application. This study evaluate the immunostimulatory activity of Polyherbal Formulation (PHF) on Th1/Th2 cytokines secretion and cell mediated immune response in Wistar Rats. Twenty four (24) Wistar rats were randomly divided into six group and each group contains four rats. Group 1 received normal saline as normal control, Group 2 received Levamisole Hcl as positive control, Group 3 received Cyclophosphamide as negative control, while Group 4 - 6 received different concentration of aqueous extract of PHF. Blood was collected and processed to obtain a serum. The serum was used for Th1 (IL-2, IFN-γ) and Th2 (IL-4, IL-6,) cytokines analysis using ELISA techniques. Keyhole Limpet Hemocyanin was used as antigen to induce Delayed type hypersensitivity (DTH) response. Footpad thickness was measured using digital vernier calliper. There was significant increase in serum concentration of IL-2, IFN-γ, IL-4 and IL-6 across the treatment groups with increase in dose of PHF (p < 0.001). There was significant increase in DTH response across the treatment groups in dose-dependent manner (p< 0.001). The PHF has immunostimulatory activity on Th1/Th2 cells thus induce the secretion of the cytokines. It increase DTH response thus can be useful in immune response involving T lymphocytes. The formulation could be useful in managing immunosuppressed conditions due to its immunomodulatory potential.