Background: Stromal tumors arising in GastroIntestinal tract were generally regarded as smooth muscle neoplasms such as leiomyoma, leiomyosarcoma, leiomyoblastoma and bizarre leiomyomas but relatively few of these neoplasms had convincing ultrastructural evidence of smooth muscle differentiation. Aims & objectives: The main aim of the study is to review cases of Gastrointestinal Stromal Tumors and to categorize these neoplasms based on the “risk of metastasis”. Materials & methods: The study was done for three years and we received 30 specimens consisted of resections and biopsies from gastrointestinal tract in the department of pathology and diagnosed as Gastrointestinal Stromal Tumors, for which we assessed the risk of metastasis. Results: There was a preponderance of high risk Gastrointestinal Stromal Tumors with 21 cases (70%), followed by intermediate risk 5 cases (16.67%), low risk 2 cases (6.67%) and very low risk 2 cases (6.67%). Conclusion: Gastrointestinal stromal tumors are a heterogenous group of neoplasms. With the advent of targeted therapy using gleevac the responsibility of the pathologists has increased to give a specific diagnosis. It is also important to suggest the prognosis based on the pathological findings.

Aims: To evaluate the management of patients initially refusing care and their treatment under conscious sedation by the inhalation of Equimolar Mixture of Oxygen-Nitrous Oxide in the Department of Paediatric Dentistry at the Faculty of dental medicine in Monastir. Settings and Design: A 5 years retrospective study. Methods and Material: Dental session’s treatment under conscious sedation were done once a week. Data for only one operator was collected. Data entry was performed using SPSS statistical software. Quantitative variables were expressed by their mean and standard deviation and categorical variables by their number and frequency. Differences with P-value < 0.05 were recorded as statistically significant. Results: The sample represents 161 patients (226 care sessions), the majority of patients treated under conscious sedation are aged between 3 and 30 years. The mean age is 8.02 years with a standard deviation of 4.591 years. The most represented age group is that of 5-14 years with 74% of the total number. The category of the most treated patients in our study were disabled patients with 49%, then young children with 36% and anxious patients with 13%. The category of occasional indications related to the act represents only 3%. Recruitment was mostly performed within the Department of Paediatric Dentistry. Extractions represent 40%, no serious side-effects were observed. The success rate was 93.2%. Conclusions: Since it is carried out in a Paediatric Dentistry department, this study provides a vision of conscious sedation benefits with young patients requiring this specific treatment.

The aim of this study is to examine the effect of economic value added (EVA) and financial performance on stock returns of mining companies listed on the Indonesian stock exchange from 2012-2018. The samples used is purposive sampling techniques based on determined criterias, the sample is 12 of 84 (population) companies. While the data analysis method used is the panel regression analysis using Microsoft Excel software and eviews 10. The independent variables used is EVA and Financial Performance which proxied by Current Ratio, Debt to Equity Ratio, Net Profit Margin, and Earning Per Share, meanwhile the dependent variable is Stock Returns. The results found that partially EVA and Net Profit Margin has a positive and significant effect on stock returns meanwhile (2) the current ratio, debt-to equity ratio and) earnings per share does not have and simultaneously all variables affects Stock Return.

The praise for the vigorous natural life is the theme of D. H. Lawrence’s poetry, Birds, Beasts and Flowers. Snake is one of the best poems in this collection of poems which shows an introspection of the relationship between human and nature. This paper aims to analyze the paradoxes and conflicts in Snake and arouse human’s attention to ecology. Many studies on Snake focus on ecological consciousness, the symbolic image of snake, sexual consciousness, religious consciousness and Lawrence’s natural value. However, a few studies pay attention to its ecological ethics, especially the paradoxes and conflicts in this poem. This paper intends to analyze the paradoxical image of snake in traditional concept and Lawrence’s writing, the paradoxical personalities of human in the modern society and the conflicts between anthropocentrism and naturalism. Lastly, this paper tries to give some suggestions to human based on ecological ethics.

This paper sheds light on war literature, defining it and highlighting its significance. It also underlines its selective nature as it can magnify, bedim, or even warp certain truths, depending on the perspective from which this literature is delivered. The paper also emphasizes the function of war literature in raising awareness as to the horrors of war and its aftermath as well as its function in promoting peace. Besides, it examines The Kite Runner in this respect. It shows how this novel succeeds in portraying the atrocities of war and its drastic effects long after this war ends. The paper observes how the novel synchronizes the political events with the personal ones in order to show that the war does not only affect those who are directly involved in it but extends to reach the innocent more severely. To underline the parallel between the political and personal events, Husseini employs the rape motif and balances the political turning points with the crucial events at the personal scale. The author also juxtaposes scenes that display the damages of the war with scenes that portray the blissful state before the inauguration of war in order to exhibit the grave impact of war and the irretrievability of this state. Husseini also presents the law of the jungle that becomes prominent during and after the war and exposes the detrimental destruction of the country sites – the destruction that effaces civilizations. The paper also proposes possible topics for future research.

In the international system today, the issue of human rights networks have become very sophisticated, dense and multifaceted. Scholars and many authors in the realms of human rights have therefore taken special care to highlight divergent perspectives and encourage debate across global cleavages of all kinds. The issue of women’s rights in Islam has generated series of controversy, great misunderstanding, and distortion partly due to lack of understanding and the misbehaviour of some Muslims which has been taken to represent the teaching of Islam. This paper therefore aims to provide a better understanding and awareness of women’s right in Islam and portray that the religion of Islam grants enormous rights to women just like other key human rights organisations. The paper also unravels the misnomer and incongruity on the perspective that Islamic law subjugates or undermines women’s rights.

Introduction: Neonatal hypoglycemia is a common metabolic problem which often goes unnoticed due to lack of specific symptoms. It is a common abnormality in low birth weight neonates. It is associated with neurological damage and death when it occurs in the first few days of life. Objective: To assess the demographic characteristics of low birth weight Newborn Admitted in Rajshahi Medical College Hospital, Rajshahi, Bangladesh. Methods: This descriptive, cross sectional hospital based study was aimed to describe the prevalence of hypoglycemia in low birth weight newborn admitted in Rajshahi medical college hospital in 1st 72 hours of life. A total of 264 neonates were enrolled in the study during the period of July 2015 to June 2017. Written informed consent was obtained. Clinical assessment and 72 hours blood glucose were recorded. Serial determination of blood glucose were recorded using glucometer at 1,2,6,12, 18, 24, 36, 48, 60 and 72 hours of age. Any abnormal result was immediately confirmed by the laboratory. Results: In our study we found 9.5% (n=25) Low Birth Weight newborn had hypoglycemia. The occurrence of hypoglycemia was within 1st 0-24 hours in 60% cases (n=15), >24-48 hours in 32% cases (n=8) and >48-72 hours in 8% cases (n=2). In this study male female ratio was 1.1:1. Mean±SD birth weight was 1681.82±301.69 grams and mean gestational age was 31.70±3.60 weeks. In this study majority of mother were <20 years of age and primiparous. Mean±SD maternal age was 19.86±5.960 years and mean± SD maternal weight was 48.23±3.592 kg. There was no significant relationship between increased incidence of hypoglycemia and sex, birth weight, gestational age of the baby and maternal age, maternal weight and parity of the mother. Conclusion: So low birth weight newborn should be kept under close observation and periodic monitoring of blood glucose should be done to avoid risk of hypoglycemia.

Healthy adult attachment is significant for relationship continuity and satisfaction. While security has been studied as a concept in literature, limited research exists on the experience of it in the context of relationships in India. The purpose of the research was to understand and conceptualize the experience of security in the process of tool development. A qualitative approach from a phenomenological paradigm was used to obtain rich experiences, understand it in depth and maintain the uniqueness of the data. In two separate studies, 29 participants between the ages of 18 and 32, married and those in pre-marital relationships participated either in a focus group discussion or an individual interview to share their experiences. The present paper explores how one emergent theme pertaining to individual security influences significantly relationship security. Analysis revealed how past experiences, family upbringing can influence sense of being ‘valued’ in the relationship and the factors they seek for in a partner to feel secure. In a rapidly westernizing culture, this information could help understand the complexities of relationships in modern India, aid in building better psychoeducational and counselling services in addition to theory building on the concept of relationship security.

Cleft lip and palate are the utmost typical facial deformity. It may occupy lip only, lip and palate and palate only. The primary deduction of clefting in infants may be each environmental or genetic aspects (such as familial factors and chromosomes). The amount of professionals involves in management of clefting and decides the highest treatment plan depending on the site of deficiency and period of the infant. Aim: The principle of the current paper is to present the etiology of cleft lip and cleft palate mutually the genetic and the environmental aspects. It is optional that the genetic basis for dissimilar kinds of familiar or unusual congenital malformations may marvelously be homogeneous, even as, the ecological basis is heterogeneous. Etiology: The etiology of CLP looks multifaceted, with genetics playing a vital function. Numerous genes create syndromic CLP have been exposed. Three of them, T-box transcription factor-22, poliovirus receptor-like-1, and interferon regulatory factor-6 are accountable for generate X-linked cleft palate, cleft lip/palate-ectodermal dysplasia syndrome, and Vander Woude and popliteal pterygium syndromes, correspondingly; they are also occupied in nonsyndromic CLP. Conclusion: To terminate, while the etiology of nonsyndromic CLP is still mostly unidentified, mutations in applicant genes have been known in a tiny amount of cases. Formative the qualified menace of CLP on the basis of hereditary conditions and environmental manipulate (together with smoking, alcohol use, and dietary factors) will be practical for genetic analysis and the expansion of future protective procedures.

Business negotiators ask themselves frequently what could be done to better a poor, frustrating deal. This article addressed the question by analyzing N=535 business negotiations outcomes, from which n1 = 265 were held without any preparation (situational negotiations), and n2 = 270 negotiations were mapped and structured before the negotiation starts. Key findings pointed 94 percent agreements on both groups. However, the n2 group performed 12.42 percent better and created approximately 25 percent more options for mutual agreements than n1. Evidence also suggests some negotiators failed in recognizing the underlying interests on the other side of the table, despite defending empathy as one of the crucial qualities to a successful business negotiator. This paper provides scholars with a new perspective and taxonomy on the business negotiations preparation. Implications for managerial practice are discussed, and future research directions are suggested.

Religious debates today are challenging the very peace and fraternity of society just because the people who actually practice religion are often misguided by those who actually don’t practice any religion. I mean the political parties and politicians. The politics round the globe has hijacked and reinterpreted the basic concepts of religion. The religion was actually established to unite the society and to guide the people to follow a particular series of morals and ideals. Today people have misunderstood Hinduism with ‘Brahmanical religion’. Hinduism or Sanatana Dharma prescribes to live a simple dignified life for the service of humanity and nature. It has no definite set of rules. In the later Vedic age, the Varna system became more complex. The Brahmans created many complex set of rituals to be followed to be called a Hindu. They prescribed to follow different ways to get rid of sin and gain virtue. The Sanatana Dharma or Hinduism gradually was dominated by Brahmanical religion. It’s time to look back to the roots of Hinduism and follow Sanatana dharma. If not, then at least a retrospection must be done to know the difference between Sanatana Dharma and Brahmanical religion.

Wilson’s disease is a hereditary disorder of copper metabolism which is characterized by neuropsychiatric and hepatic manifestations as well as appearance of Kayser-Fleischer ring. A male presenting with features of gradually progressive dysphagia, dysarthria, dystonia, abdominal discomfort and difficulty in maintaining balance, was referred for ophthalmic evaluation for any neuro-wilson manifestation. Patient had BCVA of 6/6 both eyes with anterior and posterior segment revealing no significant findings. Slit lamp biomicroscopic examination revealed a yellowish-brown deposits of Kayser Fleischer (KF) Ring following which diagnostic tests for Wilson Disease (WD) were carried out and treated for the same. The dense KF ring conveys that it has been a long-standing disease and a definite indicator of Neuro-wilson disease. This case report emphasize on the significance of early identification of KF ring and its neurological relevance.

Background: Acute coronary syndrome (ACS) refers to a spectrum of symptoms compatible with acute myocardial ischemia. Worldwide acute coronary syndrome (ACS) is one of the main reasons for hospital admission and the leading cause of death. Several risk factors have been identified. However high blood pressure and hypercholesterolemia remain the most important risk factors in (ACS). Objective: To determine the risk factors associated with ACS among patients admitted to the coronary care unit (CCU) in the Military Hospital-Sana’a. Methodology: Study design according to a case-control study. Two groups of patients were included in this study, the first group was cases who have (ACS), and the second group was control cases admitted to CCU for other causes. All data were recorded in a special sheet including demographic, clinical presentation, investigation, and treatment plan. The data was entered into PC and analyzed statistically. Results: There were 124 patients with ACS versus 91 control patients without ACS. The majority of participants in the two groups were males (80 %). Their age ranged from 18 to 95 years old with a mean age of 53.9 ±13.6 years. (86.5 %) of them were 40 years old or above. The significant risk factors associated with ACS were hypertension, Khat chewing found in 71.6 %, 64.4%, of the patients, respectively. Another significant risk factor was dyslipidemia which was higher among ACS patients than the control group with a P-value of < 0.05. Conclusion: Preventing the program from avoiding risk factors that were associated with ACS may decrease the occurring of ACS and reduce the morbidity and mortality in Yemeni patients.

The study that deals with the scrutiny of sweat pores is known as Poroscopy. They were located as little openings over the frictional ridge skin near the distal end of digits & in palms and soles. The study was conducted in central India among 400first year MBBS students of both sexes within the age limit of 18 to 23. Thumb prints of left hand were taken with Kores printer's ink over the executive bond paper and are then processed with Ninhydrin chemical. The Latent prints thus obtained are cautiously scrutinized using light source microscope. Prints are observed for number of round shaped pores per 1cm ridge and noted carefully. Images were captured with digital camera. Largest number of round shaped pores per cm ridge on left hand thumb impression were ranging from 2-4 were identified among both the sexes. It has also been observed that males presented highest number of circular or round pores with a range of 2-4 in 1cm ridge as compared to females. Thus the poroscopic study based on the shapes of pores in 1cm ridge of thumb prints plays a significant role in sex determination

In the present study, approaches had been made to study the various fishing gears that are being operated in River Barak and in Katakhal basin. An attempt had been made to document the traditional methods carried out for fishing in those areas, which revealed a total of 10 different types of fishing devices in the form of traps, nets and hooks. The efficacies of the gears were also being studied and it was found that the Gill net, Lift net and Cast net were most efficacious in those two areas.