Nature has gifted numerous plants to mankind for prevention and management of diseases. Kumari [ALOVE VERA (L.)] belonging to Family Liliaceae is traditionally advocated by the IndianAyurvedic medicine to treat a huge variety of health problems. Its burn wound (Agnidagdha vrana) healing action has been mentioned in Ayurvedic classics viz. Kaiyadev Nighantu, Bhavprakash Nighantu and Shaligram Nighantu. According to Ayurveda, due to its Dahaprashman (cooling), Rasayana (rejuvenating), Vishaghna (anti-toxic), Balya (strength providing) actions and Kledashodhan (removes kleda) acions, it helps in burn wound healing. This plant contains Lupeol, salicylic acid, Anthraquinones, Glycoproteins, Polysaccharides etc. which are accountable for speedy wound healing. It is endowed with varied pharmacologicalactivities like antiseptic, anti-inflammatory, immune-modulatory, analgesic, anti-bacterial, moisturizing and cooling and anti-oxidant that aid wound healing.This plant has potential to cure sunburns, burns and minor cuts, and even skin cancer. The present review compiles information on Ayurvedic aspect as well as phytoconstituents and relevant pharmacological studies of Kumari regarding burn wound (Agnidagdha vrana) healing action. The present data is an endeavour to give scientific justification to the acclaimed activity i.e. its burn wound healing potential (Agnidagdhavranapaha) as stated in Ayurveda. It provides encouragement to investigators for conducting further research in order to develop an efficient and safe innovative chemical entity for the cure of burn wound.

Aim of the study: The aim was to determine the blood concentrations of hydroxychloroquine in Moroccan systemic lupus erythematosus patients and identify the factors associated with interindividual variation. Methods: A cross-sectional study enrolled patients with lupus erythematosus. We recorded demographic features of patients and main clinical and biological characteristics of the disease. We determined the blood concentrations of hydroxychloroquine for the entire patient enrolled in this study by liquid chromatography – mass spectrometry. Patients were divided according to their blood hydroxychloroquine level into three groups: low blood concentration (<500 ng/mL), therapeutic range (500-2000 ng/mL) and high blood HCQ concentration (>2000). Results: Eighty subjects were included; 77 were female and the mean age was 36.9±12, 2 years. The median concentration of hydroxychloroquine was 830 ng/mL (range: 35-3,200 ng/mL); 13 patients (16%) had low blood levels, 59 (74%) were in therapeutic range while 8 (10%) had high blood concentrations. Low body mass index and the use of corticosteroids were associated with high hydroxychloroquine concentrations (p=0.03 and p=0.02 respectively). Conclusion: We report for the first time the blood concentration of hydroxychloroquine in Moroccan lupus patients and we found significant variability between patients for the same dose. Various factors affected this concentration and further studies are needed to expand the sample.

Neural tube defects (NTDs) are general complex congenital malformations consequential from failure of the neural tube closure during embryogenesis. It is recognized that folic acid supplementation decreases the predominance of NTDs, which has led to national public health policies regarding folic acid. To build your healthful pregnancy the choice diet includes a variety of nutrient-packed foods from the following groups: Fruits, Vegetables, Dairy foods, Protein, Whole grains etc. The present review focus on the some of the folic acid rich supplement food which helps to healthful pregnancy and lower the risk of congenital birth defect (NTDs).

In all economies Small and Medium Scale Enterprises (SMEs) constitute the vast majority of business establishments thereby contributing to employment generation, poverty reduction, Gross Domestic Product (GDP) and household income. Stiff competition requires SMEs to adopt different strategies to improve performance. This study examines the effect of market growth strategies on the performance of small and medium scale enterprises in Benue State, Nigeria. The study specifically examined the effect of product development strategy, market penetration strategy and quality customer service strategy on the performance of small and medium scale enterprises in Benue State, Nigeria. The study adopted a survey research design and questionnaire was used as the instrument for data collection. The population of the study includes 281 SMEs in Makurdi metropolis selected across different sectors including Retail/Wholesale, Services, Agri-business and Manufacturing. Mean and standard deviation were used for data presentation and analysis while regression analysis was used for test of hypotheses. Findings of the study indicated that product development strategy and market penetration strategy have significant effect on the performance of small and medium scale enterprises in Benue State, Nigeria. The study also revealed that quality customer service strategy has significant effect on the performance of small and medium scale enterprises in Benue State, Nigeria. The study recommended amongst others that owners of SMEs in Benue State should always use strategies that will align market needs to be able to attract more customers and face competitors in the market.

South Kalimantan Province is an area rich in natural resources, especially in the mining sector, still needs attention from policy makers related to the impact that will be caused after the mining activities. Although South Kalimantan already has its own regional regulations regarding post-mining reclamation, obstacles to the implementation of the regulations themselves are still experienced problems.

Amelogenesis imperfecta (AI) is a disorder group of hereditary development that affects the dental enamel structure in the primary and permanent teeth. The enamel may be hypoplastic, hypomineralised, hypomature or both and teeth affected may be discolored, sensitive or prone to disintegration. AI exists in isolation or associated with other abnormalities in syndromes. It may show autosomal dominant, autosomal recessive, sex-linked and sporadic inheritance patterns. Clinical treatment is important to address the esthetic appearance of affected teeth, reduce dentinal sensitivity, preserve tooth structure, and optimize masticatory function. The purpose of this paper was to describe the diagnosis, treatment planning, and dental rehabilitation of a girl with autosomal recessive amelogenesis imperfecta. Through this observation, we conclude that the Rehabilitation of a patient with amelogenesis imperfecta (AI) from both the functional and esthetic standpoints represents a challenge. The complexity of the condition requires an interdisciplinary approach for optimal treatment outcomes.

Financial distress Are the stages of a company's financial condition decline. Companies that experience financial distress in the long term tend to go bankrupt. Many parties will be harmed if a company goes bankrupt; for this reason, a bankruptcy prediction model is needed that can provide early warning for the company. This research was conducted to determine whether there are differences in financial distress prediction analysis using the Altman model, and the Lippo Group's Zmijewski Model, and to find out the most accurate bankruptcy prediction models. The analytical method used in this study is Logit Regression. The test results conclude that there are differences in predicting financial difficulties based on the Altman model, the Zmijewski Model.

This study aims to analyze (1) the implementation of clinical supervision in developing competence of citizenship education teachers in a democratic perspective in junior high schools of Bulagi district, Banggai Islands Regency, Province of Central Sulawesi; (2) the contributing factors to the competence of citizenship education teachers by clinical supervision program for the school principals; and (3) the efforts undertaken in developing the teachers’ competence. This study employs qualitative approach through case study. The data are generated from observation, interview, and documentation. The research comprises interactive data analysis to examine the data. The results show that (1) from the three phases of clinical supervision (the pre-observation meeting, observation of teaching process, and the evaluation), the effort of developing citizenship education teachers’ competence was not optimally implemented; (2) there are three factors (teachers’ educational background, teaching experience, and work ethic) which contributed to the non-optimal implementation of competence development of the teachers; (3) the school principals undertook stakeholder training, intensive lesson study, and classroom action research to improve the application of clinical supervision in developing competence of citizenship education teachers. It is for the teachers to achieve better competence.

The dramatic art song “A Refusal to Mourn the Death, by Fire, of a Child in London” is about Dylan Thomas’s optimism in human possibilities for progressive enlightenment in the world rather than about a religious certainty that comes right in the earnest. Thomas’s refusal to lament the death of a child in the London air-raid testifies to his refusal to be political, social and historical in his functioning as he has been committing himself to empathize with the tragic sufferings of the fellowbeings since the beginning of his poetic career. His commitment to disinterested goodwill and action stands in contrast to the non-committed functioning of his contemporary poets who refuse to mourn the death of a child due to their being committed to function as poets of their own choice, love, pity and peace, their being adopted to work for the romantic, political, patriotic and historical tradition. Hence this paper, adopting a figurative approach, endeavours to decipher the essential statement and to decode the much compressed, obscure meaning of this popular poem as the critics’s focus on the poem is limited more to paraphrasal and stylistic levels.

In this Review due to expanding availability of SDF we discuss the effectiveness, indications for appliance and its disadvantages. We will focus on SDF usage in pediatric dentistry. Literature searches were conducted in PubMed/MEDLINE, Embase, Cochrane Central Register of Controlled Trials, to identify studies that are related to our topic “Silver Diamine Fluoride in Pediatric Dentistry” that were published up to May 2018. It is mentioned in the literary works that the most efficient, simplest, and least expensive decays preventive representatives are silver nitrate (which eliminates the causative bacteria) and fluoride (which makes the teeth much less soluble to bacterial acids)). The creation of a silver nitrate fluoride construct -silver diamine fluoride (SDF) -combines these two preventative representatives. SDF is thought to arrest and protect against decay progression by (1) killing the original bacteria, (2) depositing a layer of safety silver phosphate that resists additional decay, and (3) transforming the even more acid soluble hydroxyapatite to the much less soluble fluorapatite.

To evaluate the effect of exams period on prevalence of myofascial trigger points in the neck in secondary school students. 120 secondary school students with the age of 12-18 years were palpated for MTrP in the upper trapezius, Sternocledoimastoid and levetor scapulae muscles with ordinal ranking (0= no finding,1=tight band, 2=latent MTrP,3= active MTrP). During the semester session and exam session. Pain intensity was measured on Numerical rating Scale scoring from 0 to 10. Participants showed higher prevalence of Myofascial Trigger Point in both Right and Left Upper Trapezius. Greater prevalence of MTrP in Right Sternocleidomastoid in comparison with Left Sternocleidomastoid. Levetor scapulae also showed greater prevalence on Right muscle than on the Left muscle. Students showed higher number of myofascial trigger point in the neck during exam session. It recommended that to minimize the formation of Myofascial Trigger point preventive measures should be taken in exam period.

Background: Fever is a common medical problem among children that always prompts mothers to seek medical care. Aim: To evaluate the effect of educational protocol for improving mothers’ practices on the types of fever in Zagazig City. Design: A quasi-experimental research design [pretest -posttest] was used. Setting: At Chiba MCH center, in Zagzig City. Sample: A purposive sample consisted of 96 mothers were chosen according to inclusion criteria. Tools: Three tools were used; Interview Questionnaire sheet, the mothers’ knowledge of fever, and mothers’ practice in management of their febrile child. Results: Showed that about 33.33% of the mothers aged between 35 and 40 years, about 72.91% of them were married, nearly 64.58% of them had work. Also, about 63.54% of them reported that they were from rural areas. Also, there were statistically significant totally improvements in the mothers' knowledge and practices regarding the focused problem at (p<0.001) in the post-protocol phase. There were highly statistically significant positive correlation between mothers’ total knowledge and practices pre and post-protocol (r =0.802, and 0.617) respectively. Conclusion: The applying of educational protocol among mothers was effective in enhancing their knowledge, and practices regarding types of fever and their management. Recommendation: Further educational protocols in the pediatric clinics or via mass media for mothers about fever should be implemented.

Initial assessment of total hip replacement surgery at 7A Military Hospital. Subjects and research methods: A cross-sectional descriptive study, conducted from 3/2014 - 4/2018 on 47 patients with a total of 52 total hip joints (THJ) were replaced at 7A Military Hospital. Result: The average time of surgery was 91.92 ± 15,847 minutes. The average length of treatment: 15.5 ± 4,948 days. Evaluation by HARRIS score: Very good + good: 96.2%, Average + poor 3.8%. Complications: Superficial Infections on incision 1.9%, dislocated joints 1.9%, loose stem 1.9%, no serious complications. Conclusion: Total hip joint replacement to treat osteoarthritis, aseptic necrosis of femoral head, femoral neck fracture is an effective treatment, restoring the patients' joint movement function, and with low complication rate.

Present study was carried out on adult Swiss albino mice of both sex, consisting of six groups with six mice in each group to find out additive analgesic effect of Hydro-alcoholic extract of Ginger with Paracetamol and also to find out additive analgesic effect of Hydro-alcoholic extract of Ginger with Ibuprofen by hot plate and tail flick methods. These six groups were, Groups-A paracetamol, group-B was Ibuprofen, group-C was distilled water, group-D (Hydro-alcoholic extract of Ginger, group-E (Paracetamol + Hydro-alcoholic extract of Ginger), and group-F (Ibuprofen + Hydro-alcoholic extract of Ginger). We find that Paracetamol, ibuprofen has analgesic effect of their own on mice but we did not find any significant analgesic effect of Ginger on mice in singly or additive analgesic effect in combination with ibuprofen or paracetamol. So, we may conclude that Ginger has no additive analgesic effect and no analgesic effect on single use also.