Background: An Intrauterine Fetal Demise (IUFD) is a major obstetrical catastrophe at any gestational age but the emotional pain and distress caused by this event increases in direct relation to the duration of pregnancy. The objective of the present study was to determine the incidence and possible causes of Intrauterine Fetal Demise (IUFD), and to determine preventive measures. Methods: Retrospective observational study was done from Jan 2019 to Dec 2019 at Government General Hospital, RIMS, Kadap, AP, India. Inclusion criteria were all the pregnant women with IUFD delivered at the centre, at or above 24 weeks of gestation. The methodology followed were parameters of assessment for analysis were maternal age, parity, probable causes for IUFD, mode of delivery, maternal complications Statistical data were analyzed using SPSS version 25. Results: The incidence of IUFD was 29/1000 live births delivered during the reporting period. IUFD incidence was higher in multiparous women compared to primiparous women. The rate of IUFD was almost similar between sex of the baby was analyzed. 49.4% of fetuses had signs of maceration. The major cause of IUFD was severe preeclampsia (48.1%) which included HELLP syndrome, IUGR, Abruption. Maternal anemia (20.4%), anhydramnios (6.3%) were some of the other important causes of IUFD. Conclusions: This study was conducted to determine the incidence of IUFD and associated maternal risk factors. By understanding the contributing factors, we can seek ways of avoiding recurrence of IUFD by proper antenatal care and early diagnosis of obstetric complications and its appropriate management.

Efficient and increased development of gaseous fuel as a complementary energy source requires a proper understanding of gas flow through pipeline networks and the required solution methods. This paper presents a comparative analysis of flowrate in loop gas pipeline systems using the Hardy Cross iterative method and Pipe 2016 (KYPIPE) computer program. A simple network model with four nodes, five pipe legs and two loops was manually analyzed based on the Hardy Cross procedure using Excel spreadsheet while comparing the effect of friction factors obtained from Moody’s chart, Colebrook’s implicit equation and Jain’s explicit equation on the result obtained from the Hardy Cross method. The accuracy of the result was validated by running a single period flow analysis on Pipe 2016 with the same network. Upon completion, a one-way analysis of variance (ANOVA) test was used to compare the four results while a T-test was used to double-check the three results obtained from the various friction factors based on Hardy Cross individually against the software’s result. Although, the mean plot showed that values obtained from Moody’s Chart and Colebrook’s equation compared more accurately with the software, the AVONA and T-test set at 5% significant level shows that no statistically significant difference exist between the results; making all friction factors suitable for use in gas pipeline flow analysis.

This is a case report describing an ectopic pregnancy occurring in the remnant stump following salpingectomy. A pregnancy implanted in this location appears very uncommon, thereby rendering the correct diagnosis challenging. This contribution comprises a case description, a presentation of the different diagnostic and therapeutic methods available to date, as well as a succinct literature review. We have also highlighted the requirement of performing salpingectomy by sectioning the isthmus of the uterine tube at the uterine horn, then coagulating the horn's intramural portion. Lastly, we have taken into consideration a series of practical recommendations.

Plant shutdown also known as “turnarounds”, is one of the most critical period in the oil gas refineries in the Kingdom of Saudi Arabia. Shutdowns have the ability to affect the plant’s financial future and commitments either in positive or negative way. A heat exchanger is crucial and important equipment in the oil gas refineries used for various processes and heat transfers. It also affects the duration of plant turnaround. When the operation of the plant starts the after turnaround, a failed heat exchanger within short duration of normal plant operation even though warranty of contractor exists, can create major loss in terms of money due to reduced downtime or production loss. Heat exchangers are subjected to different repairs including partial or full retubing by various methods or by simple plugging. Heat exchanger repair during the turnaround helps to reduce the down time loss (repair) of heat exchanger and will ensure the integrity for smooth running of plant. After studying the retubing of more than 75 heat exchangers, standardized procedure was incorporated to satisfy all the standard codes like ASME, TEMA, SAES, SES, NBIC and all the end users like Aramco, Sabic & its affiliates.

Introduction: Liquified petroleum gas can be used as a power source for combined heat and power technologies (CHP). CHP is the process of generating both electrical power and useful heat from a single fuel source. This study assess the effectiveness of health litracy and behavioral changes on the household gas cylinder usage and safety measures among women’s. Methodology: Descriptive design non experimental research approach was used to sample 100 respondents from rural areas Thiruvallur district. A structure interview schedule was used to collect data from the respondents. These were analyzed by using (frequency, percentage, mean and standard deviation and inferential (chi square) statistics. Results: In frequency overall knowledge aspects on household gas cylinder usage and safety measures, the pre test mean value is 7.85 with standard deviation of 2.1047 and post test score Mean is 11.34 and SD is 4.3256. Discussion: Based on the findings of the study to improved the Liquified petroleum gas gas cylinder usage and safety measures living of the people in the rural areas.

The 19th National Congress of the Communist Party of China emphasizes the construction of an innovative country, and the country cannot be separated from the support of innovative talents. Colleges and universities undertake the important task of talent training, which puts forward new requirements to cultivate mass entrepreneurship and innovation talents to meet the needs of social development. The spirit of Beidahuang is that the masses of the people in Heilongjiang Reclamation area have cultivated and refined the spirit of " painstaking efforts of pioneering spirit, the innovative spirit of daring to open, the unity spirit of pay attention to the interest of the whole, the service spirit of selfless dedication" under the specific historical conditions and extremely difficult environment. Based on analyzing the internal relation between the spirit of Beidahuang and the cultivation of the agricultural and forestry talents with mass entrepreneurship and innovation, this paper explores excavating the spiritual and material resources of the Beidahuang through the three modes of practical teaching. Youths in New Age may strengthen the professional base, devote themselves consciously to the construction of modernization agriculture, put their own actions into the social practice of realizing the great rejuvenation of the Chinese nation.

There is no exaggeration to assert that vaccination is one of the greatest scientific discoveries ever made. Generally, mothers’ misconception of vaccination was considered as one of the major barriers for better immunization coverage. Previous studies showed misconceptions on mothers’ knowledge towards childhood immunization. So, there is a necessity for the mothers to create unequivocal knowledge in order to develop positive attitude towards vaccination and thus improve their contribution to it for reducing the burden of dreadful infectious diseases. Objective: To develop and validate an educational booklet for treating mothers' misconceptions on vaccination. Design: A cross-sectional descriptive study design was adopted in this study for building and validating an educational booklet entitling "Treating mothers' misconceptions on vaccination." The construction of the booklet took place between June to December 2017 at Tanta district health offices through two stages: bibliographic survey; and manufacture of educational materials. Total sample size of 400 mothers of children under five years selected by using convenience sampling technique. Two-structured questionnaires were developed based on relevant literature and adopted throughout the study phases. The first one contained the following data: A) the first part included socio-demographic characteristics of the mothers as age, educational level, occupation, family size and residence. B) The second part included mothers' knowledge towards obligatory vaccination importance, contraindications, and side effects, in addition to all vaccines' mode, time and age of administration. C) The third part included mother’s practical knowledge she followed before, during and after vaccinating her child. Moreover, the second questionnaire was used for exploring the mothers and professional experts' opinions in relation to formulation of an educational booklet. Results: The study results indicated that, Out of 400 mothers included in the study, the mean age of the mother whose child undergoing vaccination is (22.00 ± 10.68) years. The predominant mothers have completed higher education, and occupational status showed that more than two-third (68.3%) were house wives. Regarding mothers' knowledge level, The proportion of mothers who lack the knowledge were as follows; vaccination contraindication (86.3%),Side effects (60.8%), BCG (51.5%), Hepatitis B (87%), MMR (92.5%), OPV (54.8%) and PENTA (94.5%). Conclusion: It was crucial to construct this booklet to ensure children' mothers' better understanding of the issues surrounding vaccination, treating their misconceptions and for improving their potentials of management of their children' vaccination care.

This thesis discusses the Commission's Decision No. 02 / KPPU-L / 2008 in a set of sanctions to change the treaty clause, namely: First, Do sanctions related change agreement has a clause in accordance with Article 47 paragraph (2) letter a of Law No. 5 of 1999, second, the consideration of the Business Competition Supervisory Commission Council to impose sanctions in the form of a clause to change the agreement. Third, how the implementation of the decisions related to the execution of the Commission. The results of the study to see that re-negotiate is not a form of administrative action of cancellation of the agreement. Cancellation of the agreement in question is the agreement null and void which resulted in the agreement never existed., This thesis discusses the Commission's Decision No. 02 / KPPU-L / 2008 in a set of sanctions to change the treaty clause, namely: First, Do sanctions related change agreement has a clause in accordance with Article 47 paragraph (2) letter a of Law No. 5 of 1999, second, the consideration of the Business Competition Supervisory Commission Council to impose sanctions in the form of a clause to change the agreement. Third, how the implementation of the decisions related to the execution of the Commission. In this study the authors describe and analyze associated with sanction in Case Decision No. 02 / KPPU-L / 2008 in the form of re-negotiate with the administrative action concerning the determination of the cancellation of the agreement as provided for in Article 47 paragraph (2) a and linked also with the objective requirements contained in Article 1320 of the Civil Code. The results of the study to see that re-negotiate is not a form of administrative action of cancellation of the agreement. Cancellation of the agreement in question is the agreement null and void which resulted in the agreement never existed.

Uterine sarcomas are rare tumours characterized by clinical and histopathological diversity and poor prognosis.We analyzed diagnostic, prognostic and therapeutic difficulties encountered with these tumors by insisting on the importance of early diagnosis.

The phenomena of evictions of street vendors, homeless people, poor peasants, illegal settlers, etc. have been common in Indonesia. The weak proletariats are always sacrificed whenever they are vis a vis the bourgeois groups and rulers. If done continuously, the preservation of their religion, souls, intelligences, offspring, properties, and dignities will be menaced. So, re-actualizing fiqh mustaḍ’afīn (the proletarian jurisprudence) is urgently necessitated. This research calls for a re-conceptualisation of fiqh mustaḍ’afīn to present its importance and role in defending the rights of those oppressed group. The research was a mix-method type. Apart from studying related literature, it also employed fieldwork by interviewing a number of street vendors and government officers in Malang City, East Java, Indonesia. The results show that fiqh mustaḍ’afīn does belong to and favor those who are weak and oppressed and places those who do wrong and unjust as common enemies that must be fought.

The lack of exercise in childhood is caused by a variety of different factors. In order to illustrate the consequences of a lack of exercise, the effects of exercise on child development will be discussed. The aim of the present study was to identify the multifunctional importance of movement in all areas of child development on the basis of various research studies. The method used in this study was a review of the relevant literature. By analysing various research results, we discovered that due to the increase in postural weaknesses, postural defects and motor deficits in children and adolescents and the associated cognitive consequences, various studies and publications have been conducted in recent years, in which effective physical education at pre-school age is repeatedly mentioned as the cornerstone for the holistic development of children. Movement activities and physical activity can have a positive influence on physical development in the following areas: a) improved development and increased performance of the cardiovascular system, b) age-appropriate development of the muscular system, c) high resilience of the skeleton and d) positive contribution to the formation of a correct posture and avoidance of postural weaknesses and postural damage. Numerous scientific studies have shown that there is a connection between movement activity and intelligence development. For example, children of pre-school age achieved better results in intelligence tests than the non-subsidised control groups through regular physical activity promotion. In addition, targeted motoric promotion has a lasting effect on improving concentration. Particularly in early childhood, versatile physical activity can have a positive influence on the development and training of mental abilities. In childhood, movement activities have a high experience value. Victory and defeat, joy and sorrow, happiness and disappointments - sport and play provoke a variety of emotional states that have a lasting effect on the emotional development of children. Through movement, the child tests its body. It learns to deal with it, to assess it and it feels the limits of its own body. Due to their physical activity, children experience recognition from their peers and adults. Such experiences are of great importance for the development of self-confidence and mental balance. Since a large number of physical activities in childhood are connected with group activities, there are various social educational effects for the growing person. Movement, sport and play can provide important impulses and helpful lessons for personal adaptation, interpersonal relationships and appropriate social behaviour. In summary, it can be said that exercise has effects on the whole person. Different areas are addressed by exercise and can therefore be promoted through exercise.

Pure mucinous breast carcinoma is a very rare histopathological type of breast cancer. Despite its invasive nature, mucinous carcinoma is most often described as a benign lump. It can be misdiagnosed as a phyllode tumor, which has certain similarities both clinically and radiologically. Surgery is the cornerstone of therapeutic management: lumpectomy or mastectomy depending on the size of the tumor, associated with axillary lymph node dissection or with sentinel lymph node biopsy procedure for early stage tumors. The treatment is often associated with adjuvant chemotherapy and radiotherapy. We describe an uncommon case of pure mucinous breast carcinoma, which clinical and radiological characteristics, occurred as a benign phyllode tumor presenting a real diagnostic challenge.

Background: Whitening creams are most commonly used by both men and women for beautifying and cleaning. These creams are not commonly sterile and contaminated during different stages of formulation from manufacturing to consumer. Pseudomonas aeruginosa, some gram negative bacteria and Staphylococcus aureus are involved in the contamination of cosmetic products. The use of microbial contaminated whitening cream may become health hazard to consumers. Objective: Microbial analysis of selected brands of whitening creams commonly used by the community of Pakistan. Methods: Four well-known brands of whitening creams were chosen for microbiological analysis and assigned coding as W-A, W-B, W-C and W-D respectively. Conventional culture were used for microbial analyze. Differential & Selective Media used for Identification of Microorganism and further confirmation of microbes were subjected by biochemical tests. Results: All four brands were observed contaminated with bacteria up to 106 CFU/g that finally more than the U.S.P. or F.D.A. recommended limit of less than 103 CFU/g for non-eye area. Growth of Klebsiella sp., Staphylococcus sp., and Pseudomonas sp was noted as well. Fungal population was not observed in any brand of whitening creams. Escherichia coli and actionmycetes were not present in all the samples. Klebsiella sp. and Pseudomonas sp. were detected in all brands within a range of 1. Conclusions: According to current microbial analysis there is higher load of total viable microbes in all samples. These contaminated products are health hazards to consumers. There should be checking during fabrication, packaging and storing of the cosmeceuticals brands by the regulatory bodies and intensive care the operation as well as the supply of cosmetics products among the health-care stores.

Oesophageal carcinoma ranks one of the commonest of all cancers. It sure finds a spot in the top ten. It also ranks itself in the top 5 when mortality of the patient is concerned. 1 Oesophageal Cancers are more often encountered than when compared to statistics of any other era and we encounter it more often in the clinics. The frequency has been on a positive inclination if not straight. It is one of the serious malignancies and has one of the worst prognoses. The morbidity and the mortality is also on a higher scale. The trends are expected to increase in the next decade or two as more and more urbanisation and industrialisation are happening thus indirectly leading to life style modifications. Obesity is also one of the more important causes or rather says obesity has been linked directly to the oesophageal cancers. With increase in the incidence and prevalence of the obesity and also the unhealthy life style modifications, more number of cases is expected to encounter. If global scenario is considered then higher incidence is reported in the developing nations and also majority of the studies indicate that squamous cell carcinoma is the commonest variety. In the last half century more number of cases has been reported than in any other point of time.

This research aims to describe visionary leadership, lecturer performance, and academic culture in improving the competitiveness of Islamic tertiary institutions in Indonesia. Quality and highly competitive education is a problem faced by the majority of educational institutions in Indonesia. Leadership is thought to be able to create performance and academic culture in achieving the vision and mission of the institution and be able to meet the expectations of the community and education stakeholders. In order to achieve these objectives properly, a quantitative research approach with survey design was used. The questionnaire that has been tested for validity and reliability is used as a tool in exploring the data needed in research. This research was conducted in several Islamic Higher Educations in Indonesia, with a population of 35,705 students. The questionnaire was filled by 1135 students who were sampled in this study with random sampling techniques. The collected data were analyzed using descriptive statistics and path analysis. The results showed that visionary leadership, lecturer performance, academic culture, had a significant contribution to the competitiveness of Islamic Higher Education in East Java. This finding has the implication that the better visionary leadership in higher education, the better the performance of lecturers and academic culture and institutional competitiveness. The better the performance of lecturers, the better the academic culture and competitiveness of the institution. This finding shows that visionary leadership is the key to success in improving the quality and competitiveness of educational institutions in the global era.