Urinary tract infections are defined as the spectrum of diseases of the genito urinary tract by micro organisms. The risk of urinary tract infection (UTI) is higher in diabetics and the antibiotic resistance of uropathogens have been changing over the past few years. Hence, the study was undertaken to determine the prevalence of various uropathogens and their antibiotic sensitivity pattern in diabetic patients with UTI. Methods: Clean voided midstream urine was collected, & inoculated on Blood Agar (BA) and McConckey Agar (MA), and incubated at 37OC overnight for visible growth. Results: Out of 120 diabetic patients, 75 patients (30 males and 45 females) were found to have culture positive UTI. The rate of isolation of Klebsiella species (50%) was highest, followed by Escherichia coli (16.6%), Staphylococcus aureus (16.6%), Coagulase negative Staphylococcus (12.5%) and Citrobacter species (4%). All the isolated organisms showed maximum sensitivity to Carbapenems and least susceptibility to Norfloxacin and Nitrofurantoin. Conclusion: High blood glucose is the main cause of UTI among diabetics. Therefore, isolation of pathogens in diabetic patients with UTI is important to initiate appropriate antibiotic therapy and to prevent renal complications

The epithelial tumors of the ovary are very varied in nature, they often pose difficult diagnostic problems: on the one hand to assert their organicity so as not to overtreat a functional lesion and on the other hand to appreciate their benign or malignant nature. Among them, we can mention the ovarian fibroma which is a rare tumor representing less than 1% of all ovarian tumors. Cases of cystic degeneration of this fibroma simulating ovarian cancer are described in the literature. We report a case of this type of degeneration affecting ovarian fibroma and taken for ovarian cancer, despite the explorations in medical imaging, but considering the appearance of the mass and the absence of peritoneal carcinomatosis at the exploratory laparotomy, a Limited excision was recommended pending the results of the pathological examination in the diagnosis of this malformation. Through this observation, we will analyze the symptomatology of this clinical form which mistakenly mimics an ovarian cancer and also discuss the interest of ultrasound and the determination of tumor markers in the diagnostic approach as well as the therapeutic attitude to adopt in this clinical form

The purpose of this study is to examine influence tax knowledge, awareness of taxpayer and the tax system effectiveness of the tax system against taxpayer compliance. The population of this study is the taxpayers of private entrepreneurs in the Cikarang Bekasi region, and then the samples were drawn using method convenience sampling. The analytical method used is quantitative and analytic statistics used are multiple linear regression analysis. The results showed that the awareness of taxpayers did not affect the compliance of taxpayers while tax knowledge and the effectiveness of the taxation system affected the compliance of individual business taxpayers in the Cikarang region. The data analysis technique used in this study was SPSS v.25.

Background: Analyse the congenital malformations, involving various systems of the body systemwise & their association with maternal age and parity. Methods: This was a hospital-based cross-sectional study conducted at government maternity hospitals, Hyderabad over a period of one year months from October 2011 2015 to September 2012. All women attending Antenatal Clinic were screened by ultrasound examination. Foetuses of pregnant women were screened by clinical and ultrasonographic evaluation (12wks to 28wks). Results: The central nervous system and the musculoskeletal system topped the list with 16 cases (26.66%) out of total 60 cases. 11 cases of central nervous system belongs to 21-25 years age. Conclusion: Anomalies were most likely to be in the central nervous system. Maternal history of previous congenital anomalies, parental consanguinity, and history of medical disorders were associated with an increased risk of congenital anomalies. Early diagnosis will prevent mothers from psychological trauma of bearing and rearing an anomalous child.

Introduction: As a new media, WeChat has both negative and positive effects on college students. This paper first analyzes the developmen status of WeChat in the population and the characteristics of college students' social interaction. Then we conducted a survey on the use of WeChat by college students of Anyang Normal University, focusing on the reasons, duration, WeChat main newsletter, communication of WeChat, and the discrimination between the true and false of WeChat information. We discuss the positive and negative impact of WeChat on college students. Finally, in view of the negative influence of WeChat, we give the corresponding strategic measures from three levels: college students themselves, universities, and university educators, so that college students can overcome and avoid the negative effects of WeChat, so as to better grow into talents.

The purpose of this study is to analyze the production costs of a fish farming business carried out by oil palm and rubber farmers in the village of Bencah Kelubi who have become alternative livelihoods for farmers and utilize existing natural resources (catfish innards) as raw material for feed (pellets) to support the business fish farming in ponds. This study uses survey and experimental research methods, namely conducting surveys of internal and external conditions that affect fish farming businesses; while the experiment was carried out by conducting an experiment in processing catfish offal solid waste into fish feed raw material. The appropriate strategy for developing catfish farming business in the village of Bencah Kelubi is to create a hatchery unit to produce seeds, creating catfish culture technology with appropriate applications

It is undisputable that by and large, the general citizenry and governments of the Sub-Sahara Africa is of late pretty much come to align higher education to economic assurance than ever before. This has witnessed a considerable increase in the number of institutions of higher learning established and a number of students enrolling into these institutions. It can be deduced that such an increase challenges the quality assurance in its provision. It is therefore imperative for African states to put a great deal of emphasis on quality assurance procedures as they discharge the provision of university education. This paper explores literature on quality assurance procedures in universities in developing countries with particular reference to public and private universities in Tanzania. The perception of quality in university education is first analysed alongside the divert views of quality assurance mechanism, and with the scaling up of the approaches to quality assurance. The paper concludes that universities in developing countries should aim at implementing quality assurance procedures for institutional effectiveness and service and/or programme quality.

Beta thalassemia is one among the commonest hereditary haemolytic disorders that result from defective synthesis of haemoglobin and ineffective erythropoiesis. Very less data is available in the early identification of renal involvement in patients with thalassemia. Renal impairement in thalassemic patients may be due to chronic anemia, chronic hypoxia, iron overload and iron chelators toxicity. The objective of the study was to estimate renal parameters in pediatric age group with transfusion dependent beta thalassemia major and to correlate the outcome with the degree of iron overload. The study consists of 30 diagnosed cases of beta thalassemia major aged between 3-18 yrs admitted in Vani Vilas Hospital attached to BMC&RI, Bangalore and 30 healthy age and sex matched controls. Blood samples were analyzed for hemoglobin, serum urea, creatinine and spot urine sample for microalbumin. Data analysis was done by Pearson’s Correlation analysis and Student’s t test. Mean age of cases was 8.9 years (SD=4.14) among whom 50% were females and 50% were males. Mean age of controls was 9.06 years (SD=3.5). Mean hemoglobin levels were decreased significantly (p<0.01) in cases when compared to controls. Mean urinary microalbumin excretion was significantly increased (p<0.01) in cases as compared to controls and positively correlated with duration of chelation, suggesting renal damage. Therefore microalbuminuria is important to assess the risk of renal dysfunction in these patients.

British Thyroid Association (BTA) recently produced Ultrasonography (US) classification (U1–U5) of thyroid nodules to facilitate the decision-making process regarding the need to perform fine-needle aspiration cytology (FNAS) in suspicious/unequivocal cases. This study was aimed to evaluate whether a relation between classify thyroid FNAS cytology, ultrasound feature diagnoses and compare with BTA-U classification. All the FNAS of thyroid lesions came during November 2017 to November 2018 were classified depended one echogenicity and size vascularity and type of calcification by assed the indication of FNAS and final cytology results. During the study period, total of 165 (89.7% females and 10.3% males) was enrolled in this study. Thyroid FNAS were reported to benign lesion, malignant, inflammatory, indeterminate and non-diagnostic were reported in (76.5 and 87.8%), (5.9 and 2.03%), (5.9 and 6.8%), (0 and 2.03%) and (11.8 and 1.35%) in cases of (male and female) respectively. Benign cases were found 757 (95.2%) out of total 795. This category includes hypo echogenic, hyper echogenic, iso echogenic, highly vascular nodules, calcification, well defined nodular surface, lymph adenopathy, mixed solid& cystic and halo sign depending to sonographic description comparison with BTA- U. This study concluded that Use of BTA for thyroid FNAC reporting helps to highlight increased malignancy risk associated with US and FANS malignant categories as well as provide more details related to cytology of thyroid lesions.

Osteomyelitis is an inflammatory disease which is heterogeneous in pathophysiology, clinical presentation and management. It occurs more commonly in the mandible than in the maxilla as the maxilla has a significant collateral blood flow, thin cortical bones which make it less prone to infection. Factors that predispose an individual to osteomyelitis of jaw is virulence of the microorganism, compromised vascular perfusion in the host bone at the local, regional or systemic level, and environment distressing host resistance or defense. Early diagnosis and management is of utmost importance so as to avoid the potentially serious consequences of the disease. We report an unusual case of maxillary osteomyelitis in a 33 year old female patient with poorly controlled diabetes and recurrent maxillary sinusitis

Background of Study: Sickle cell anaemia (SCA) is a common monogenetic disorder that is characterized by chronic haemolysis, recurrent vaso-occlusion of the microcirculation and chronic inflammation. Nitric oxide (NO) bioavailability has been found to be impaired in sickle cell disease this is because haemoglobin released during intravascular haemolysis, is a potent scavenger of nitric oxide (NO) and also releases arginase into the plasma. Upon release, arginase metabolizes plasma L-arginine into ornithine, reducing the needed substrate for nitric oxide synthesis and compounding the reduction in nitric oxide bioavailability in SCA. Objective: The aim of this study was to determine the plasma level of L-arginine in adult patients with SCA in steady state and compare with those of age and sex matched normal HbA controls. Methods and Materials: Thirty adult SCA patients in steady state attending Haematology clinic at University College Hospital, Ibadan, Nigeria and 30 normal HbA age and sex matched controls were enrolled for this study. Haematological parameters were determined by a 5-part autoanalyzer and plasma level of L-arginine was quantified by ELISA method. Data were analyzed and results were considered statistically significant if p<0.05. Result: The respondents consist of 33(55) females and 27(45%) males with a mean age of 29.4years (8.9). Haematocrit was significantly higher in controls than steady state, Plasma L-arginine was significantly reduced in SCA patients in steady state than controls. Conclusion: This study confirmed that there is reduction in L-arginine in SCA patients in steady state compared to normal HbA controls.

The oxidative stress results because of the disturbance in systemic equilibrium of the oxidants and antioxidants. However, when there is increase in the generation of the free radicals such as reactive oxygen and nitrogen species (ROS and RNS respectively), then there is a shift in this systemic equilibrium. Various environmental and lifestyle factors such as pollutants, alcohol consumption, smoking, poor diet and other adverse habits contribute towards the oxidative stress. Oxidative stress can affect systemically (the whole body) as well as locally (in oral soft tissues).Various recent literatures have shown that the oxidative stress and inflammation are predisposing factors for various chronic illnesses, like atherosclerosis, rheumatoid arthritis, diabetes and periodontitis

This work was carried out to investigate the changes in haematological and some of liver function parameters among abortive females after diagnosing toxoplasmosis-related symptoms in El-Beida City, Libya. Eighty seven abortive women during the period from October 2018 to March 2019 were chosen as a study group. These women were split into two groups when the antibodies of Toxoplasma was present. (IgG and/or IgM) (44 cases who positive with toxoplasmosis). The largest incidence was observed in age group 21-25 years followed by age groups 31-35 and 26-30. While the smallest incidence was observed in the age group, more than 46 years followed with age groups of less than 20 years. At age group 41-45, percentage of positive toxoplasmosis was found higher than negative toxoplasmosis. All positive cases, 50.6% of them was found to have IgG anti-toxoplasma antibodies sero-positive. 13.6% of total cases was mixed seropositive for IgG and IgM. These value of antibodies IgG/IgM were found statistically difference between positive and negative toxoplasmosis. Only, the mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH) and white blood cell count were decreased significantly in positive toxoplasmosis. Mean values of RBC count, HGB concentrations, percent of hematocrit (HCT), mean corpuscular hemoglobin concentration (MCHC) and red blood cell distribution width (RDW) were not statistically different in positive compared to negative cases. Lymphocytes (Lymph %) and mid cells total count (MID %) were increased and granocytes (Gran %) decreased slightly in positive toxoplasmosis without significantly deference. Meanwhile the mean platelets number (PLT) the volume occupied by platelets in the blood (PCT %), the mean platelet volume (MPV %) and platelets distribution width (PDW %) were changed without significant deference. In terms of blood group, the smallest incidence was discovered with blood group O and the largest incidence with blood group AB. The highest prevalence among individuals with blood group who have Rh-positive at same blood group. The mean levels of AST, ALT and ALP in the serum of the positive toxoplasmosis was decreased without significantly deference. These results were might give a better understanding about pathogenesis of toxoplasmosis.

The Dalai Lama is the spiritual leader of the Tibetan Buddhism, has a close and unusual relation with the MIT and the US neuroscience for decades. Recent researches is discovering that MIT has a corrupt network of illegal human experimentation of artificial intelligence in poor countries to develop human robots with invasive neurotechnology such as brain nanobots. Buddhist monks has characteristics that make them ideal candidates for their transformation in cyborgs such as their resistance to high altitude, their knowledge about martial arts, mind self-control, their belief in reincarnation, non-existent sexual activity of the Buddhist monks, thus these characteristics explain the approach of USA neuroscience to the Buddhist monks to involve them in artificial intelligence projects and to turn them into cyborgs, slaves, without sex, without privacy, without freedom and to be sold as war machines. The Dalai Lama's promotion subliminal of emotional intelligence and his relation with MIT indicate that Dalai Lama is also part of this MIT's mafia of artificial intelligence. The Dalai Lama, rather than seeking Tibet independence, would really be seeking its slavery through mind control with brain nanobots and microchips

Recently, cultural way of life of nomadic societies have been challenged by active forces of globalization and urban transformation in the Arab world and, namely, in the State of Qatar. The adaptable practices of the Nomads in the city are seen through modern manifestations, representing a counter process of urban growth that is more local-oriented, inward and responsive to socio-cultural way of life of indigenous societies. This research study attempts to contemplate the aspects of urban transformation of the nomadic society in Qatar through the investigation of a specific urban element: the tent. The question of the research revolves around the following: How does the tent as a unit of investigation evolve responding to the behavioural, spatial and socio-cultural transformations of the nomadic society in Qatar? Through field study and participatory observation, the unit of investigation is studied. Remarkable reference to the Bedouin cultural way of life establishes the basis for the construct of a national identity in Qatar, not only to the sub-cultural tribal communities but also the whole society with its diverse components. This strategy is expected to be socially sustainable, ensuring the ability of the Qatari society to face the challenges of the urban future in a resilient and peaceful way.