5G Network strongly depend upon ultra dense integrated small cell beside macro cell. This kind of UDN consists of large number of macro cell and small cells through which increase in energy demands can be met. Practically energy consumption is done by dynamically controlling modes in radio networks. This paper reflects the significant power saving by considering only a subset of network node which reduce traffic migration and control phase signaling. To enable the sustainable UDGN improve system energy efficiency, and alternative energy source are introduce to reduce dependence on traditional fossil fuels. In 5G optimizing energy is the most important challenge and maintenance of RF communication system. RF energy harvesting is a unique technique for 5G system as an alternative to traditional energy supply sources. Future evolution of the networks has also been assumed to open many new business horizons for the operators and the need of not only a resource efficient but also an energy efficient ecosystem has greatly been felt. The deployment of small cells has been envisioned as a promising answer for handling the massive heterogeneous traffic, but the adverse economic and environmental impacts cannot be neglected.

In the era of globalization, which is marked by intense competition between hospitals, it requires anticipating improvements in service quality on an ongoing basis in line with the increasingly high expectations of customers for hospital services. This paper presents the quality of internal services and individual characteristics of satisfaction and its implications for employee performance. The population of this study was 56 participants of the Regional General Hospital (Korpri) of East Kalimantan Province through a questionnaire. The analysis model uses Structural Equation Model (SEM) based on Partial Least Square (PLS). Overall, the Quality of Internal Service has a positive and significant effect, while Individual Characteristics have a positive and significant impact on Job Satisfaction. The second model proves that the Quality of Internal Service actually has a positive and significant effect on Employee Performance. On the other hand, Individual Characteristics and Job Satisfaction have a positive impact, but not significant for Employee Performance. In order to improve employee satisfaction and performance through individual characteristics and service quality, there is a need for support from management and fostering good relationships with superiors and colleagues.

Introduction: Prostatic adenocarcinoma is one of the most frequently diagnosed cancer in adult males which seldom metastasizes to testis. Method: In current study the authors retrospectively analysed the 154 cases of bilateral orchiectomy done as hormonal ablation therapy in cases of prostatic adenocarcinoma. Result: We received a total 154 bilateral orchiectomy specimens of patients with prostatic adenocarcinoma in the period of three years. The Patients presented were from 42-86 year of age with a mean age of 60 years. In most (83.11%) of the cases testes were atrophied, 15.58% cases presented with normal histology and only two cases (1.30%) were reported positive for metastasis in testicles. Interestingly both of our cases also had a low PSA level. Conclusion: Testicular atrophy is the most common histopathological finding in patients of bilateral orchiectomy done for prostatic adenocarcinoma. Testicular metastasis is very rare but its possibility highlights the need for continued monitoring of patients with a history of prostatic cancer for local recurrences as well as metastatic disease. It also shows the importance of detecting metastasis to rare locations such as testicles specially in the setting of low PSA levels.

When African countries gained independence, most African political leaders turned their back to their populations, and African male witers changed their topicality to political disillusionment. African female writers, included Buchi Emecheta, could no longer identify themselves with men’s writngs and started denouncing the hard linving conditions of women, hence The Joys of Motherhood (1979). After gender preoccupations, Emecheta publishes The New Tribe (2000) to address self-discovery. This article displays how Buchi Emecheta has shifted from “gender preoccupations” by castigating the irresponsible and incompetent fathers of family who do not take care of their wives and children to “universality”.

In order to establish a better diagnosis of sheep slaughtered in the municipal slaughterhouse of Korhogo, this study was finally carried out to appreciate the variation of their hematological parameters. All in all, 85 sheep, from Djallonké breed were recruited. The assessment of the various hematological indicators was done by suitable kits for the URIT-2900 automata Analyzer. The results of our investigations showed that the mean age value of the sheep was 1.54 ± 0.17 years. These results revealed that abnormities in the mean values of the hematological parameters were observed in the hemoglobin, Mean Corpuscular Value (MCV), leukocytes, neutrophils, lymphocytes and monocytes levels. According to gender, females had a significantly higher rate of anemia (25.37 %) than males (5.56 %). In addition, 98.82 % and 75.29 % of subjects had macrocytosis and hypochromia respectively. The study reported high prevalence of leukocytosis by sex, 7.76 % in males and 77.61 % females and by age (79.31 % and 76.79% respectively in young people and adults). In addition, thrombocytopenia and thrombocytosis were observed in 25.88 % and 29.41% of sheep, respectively. The result of this is that the hematological profile of sheep intended for consumption in the commune of Korhogo is disrupted with many abnormities.

The paper discusses one of the most popular YouTube video bloggers (vlogger) Li Ziqi, and illustrates her popularity from the perspective of cross-cultural communication. It employs a framework for studying her cultural production on YouTube that focuses on its key components: cultural consciousness, harmony, and shared values between the modern China and the west. It demonstrates that filial piety, creativity, commitment, diligence and courage are still values in China, as well as the world. In addition, it explores the work of Fei Xiaotong and its implications for Li Ziqi’s videos on YouTube, as well as Lao Tzu and Sun Tzu.

Fabry disease is a rare, hereditary disease characterized by a deficiency of an enzyme, α galactosidase A (α gal A), responsible for progressive damage to many organs, leading to various symptomsn, Ocular damage, particularly to the cornea, is sometimes a precious element helping the positive diagnosis of the disease. We report the case of a 40-year-old patient diagnosed with Fabry disease, with bilateral conjunctival vascular toruosities, a "cornea verticillata and a peripheral cortical cataract. Better knowledge of ophthalmological signs, allows better screening and can participate in the evaluation of the effectiveness of substitute therapy.

Inclusion is a programme that caters for the education of individuals with disabilities in a regular school setting. This paper takes a cursory look at concepts of inclusive education, inclusive education policy in Nigeria, learning theories of inclusion such as Social Learning Theory by Bandura, Observation Learning Theory by Piaget and Vygotsky and Guided Learning Theory by Vygotsky are critically examined. Inclusion has academic and social benefits for all students, whether with or without disabilities, such as increased communication and social interaction opportunities, age-appropriate models of behaviour skills, active participation in the school community, individualized education goals, as well as access to rich core curriculum. The challenges of inclusive education are in the areas of funding, inadequate personnel, facilities and materials; lack of communication among administrators, teachers, specialists, staff, parents and students inhibits the success of inclusive programme. Counselling the public for attitudinal change would accommodate the students with special needs in our society, but; would also make them to be accepted as people of worth. It is recommended to all school system to initiate seminars, workshops and conferences for parents of students with special needs; so that awareness could be brought about on needs of families. The curriculum should be modified to accommodate learners with special needs different learning style so as to achieve the needed change.

The study aimed to analyze the direct influences of innovation strategies on company performance in Central Sulawesi. This study was conducted in the medium-scale manufacturing industry in Central Sulawesi Province (Palu City and Donggala Regency). The study involved about 96 respondents. The main variables were innovation strategies and company performances. The study found that the average value of the dimension of "process innovation" was 4.11, high category; while the dimension of "product innovation" had an average value of 4.06, high category. The dimension of product performance had a high value of 3.97 and a marketing performance with a value of 3.92. Hypothesis testing showed that there was a significant influence of innovation strategy on company performance with a P-value = 0.00 (P <0.05) and a regression coefficient value of 0.286. The conclusion is that the innovation strategy has a positive and significant effect on the performance of the manufacturing industry in Central Sulawesi.

Objective: To assess periodontal status of the patients undergoing orthodontic treatment and to compare periodontal health of patients with and without orthodontic treatment. Materials & Method: A cross sectional study was done on 100 patients (50 orthodontic and 50 non-orthodontic). CPITN (Community Periodontal Index for Treatment Need) was used to assess the periodontal health of indexed teeth. SPSS version 17 and Chi Square test were used to analyze and compare the data. Result: There was a statistically significant association in CPITN score between orthodontic and non-orthodontic patients (p<0.01). Conclusion: Patients undergoing orthodontic treatment have increased plaque accumulation and probing depth that may be associated with periodontal destruction. Patient motivation to maintain oral hygiene and regular scaling will minimize hazardous effects in orthodontic patients.

This paper distinguishes top managers’ earning management behavior when they are under different financing status, especially focuses on how managers’ characteristics will affect companies’ earnings management when they have financing demands and pressures. This paper collects data of managers’ characteristics from China A-share listed companies and studies it’s different influence on earnings management by comparing companies who are newly listed or issue new shares to companies who don’t. The results show that financing companies engage more on earning management behavior in general. Gender of top managers has no significant effect on companies’ earning management; however, male proportion of top management team will increase earnings management behavior when companies have a demand on financing. Furthermore, the average educational level of top management team has a positive influence on companies earning management and this effect is stronger for companies who have a financing situation. Finally, a younger management team will conduct more earning management behavior in general, but older age managers will positively affect on this behavior when companies have a financing demand.

Background: Unprecedented measures have been adopted to control the rapid spread of the ongoing coronavirus disease (COVID-19) epidemic in Egypt. Pregnant women adherence to control measures is affected by their knowledge, attitudes, and practices (KAP) towards COVID-19. Aim: Aim of the study was to assess the knowledge, practice and attitudes of preventive measures against COVID-19 infection among pregnant women. Subjects& methods: Research design: Across sectional design was used. Setting: The study was carried out in two Maternal and Child Health Centers (Alnahal Medical Centre and Sheba MCH) that are affiliated to the Ministry of Health and Population in Zagazig City, Sharkia Governorate, Egypt, between the period from January 2020 to April 2020. Subjects: All eligible pregnant women who attended for antenatal care during the study period by using simple random sampling. Tools of data collection: A structured interviewing questionnaire that consists of five parts, part one, socio-demographic and obstetric data, part two sources of information on preventive measure against COVID-19 infection, part three, knowledge towards COVID-19 infection and its prevention measures, part four practice of preventive measures of COVID-19 infection and part five attitudes towards COVID-19 infection. Results: The findings of this research showed that more than half of women (57.6%) had satisfactory level of total knowledge about the preventive measure of COVID-19 infection. However, the majority of women (87.6%) had unsatisfactory level of total practice of preventive measures of COVID-19. Educational level and multiparty were factors significantly associated with poor practice of the preventive measures against coronavirus -19 infection among pregnant women. Conclusion: The study showed that most of the participants had adequate knowledge of preventive measures against COVID-19 infection but the practice of these preventive measures were poor among the participants. Recommendations: Provide continuous health educational program on practice of using preventive measures against COVID-19 infection especially among pregnant women.

Metabolic syndrome (MetS) is increasing globally. However, there is paucity of information on its association with obesity amongst young adults in Nigeria. This study was designed to investigate the prevalence of obesity, metabolic syndrome and the different BMI-metabolic risk sub-phenotypes in a young adult Nigerian population. A total of 200 young adult Nigerians (92 males; 108 females) took part in the study. Blood pressure and anthropometric readings were taken following standard protocols and body mass index was determined. Fasting blood sample was collected and biochemical assays were done using standard protocols. Obesity and metabolic syndrome were defined by the World Health Organization and modified National Cholesterol Education Program Adult Treatment Panel III criteria, respectively. BMI-metabolic-risk sub-phenotypes were defined by the presence or absence of the metabolic syndrome within the 3 BMI groups. Obesity was found in 10.88% (5.40% males; 15.80% females) of the study population. Metabolic syndrome was found in 23.80% (27.58% males; 20.58% females) of the population while hyperglycemia (41.26%) and hypertension (36.50%) were the most common metabolic abnormalities. Amongst the overweight and obese population, 80.00% and 60.00% respectively had healthy metabolic profiles while 23.68% of the normal weight participants were metabolically unhealthy. The different BMI-metabolic-risk sub-phenotypes occurred at rates of 20.00%–80.00% within the BMI groups. The prevalence of metabolic syndrome and BMI-metabolic-risk sub-phenotypes in this young adult Nigerian population is high. These findings underscore the need for an urgent public health action in order to forestall the possibility of a looming public health crisis.

A multidisciplinary approach to medicine is something that is becoming more popular and widespread today. The combination of multiple health care disciplines can be extremely beneficial to progress an individual’s healing at a more rapid pace than relying only on one area for assistance. Amongst the most popular medical disciplines today, ancient ayurvedic medicine is most popular that many patients are seeking to relieve their ailments not only in India but also in other parts of the world. On the other hand, dental implants are the modern treatment modality that is popular for management of edentulism. However, majority of the elderly patients receiving dental implants are systemically associated with bone disorders that affect bone healing which in turn interferes with osseointegration. Here this review focuses on various pharmacological agents (including ayurvedic) for management of osteoporosis. For the review, data was collected from recently published articles (2001-2018) and multidisciplinary treatment options available for osteoporosis are summarized and reviewed.

Extraskeletal myxoid chondrosarcoma is a rare malignant soft tissue tumor of uncertain differentiation, constituting less than 3% of all soft tissue sarcomas. This low grade malignant tumor with high recurrence and metastatic potential, occurs predominantly in proximal extremities and limb girdles of males with thigh being the most common location. Here we present a case in a 35 years old female, who presented with pain and large swelling of around 8cm in lateral side of left leg since five months. Wide local excision of the tumor was done and on histopathology a diagnosis of Extraskeletal myxoid chondrosarcoma was rendered. On Immunohistochemistry the tumor cells showed reactivity for Vimentin, S100 and NSE and was non-reactive for CK. Thus our histopathological diagnosis was reconfirmed by immunohistochemistry. Despite high incidence of local recurrence and metastasis, ESMC has an excellent overall survival rate.