Objectives: To assess the routine laboratory analytes, serum Thyroid Stimulating Hormone (TSH), Lactate Dehydrogenase (LDH) and Uric acid in women with preeclampsia compared to normotensive healthy pregnant women and to determine the concentration of liver enzymes in women with preeclampsia. Materials and Methods: The study was carried out in the Department of Biochemistry of MVJ Medical College and Research Hospital. Thirty women with preeclampsia and thirty normotensive pregnant women admitted to the Department of OBG were recruited for the study. Blood samples were collected and analysed for serum TSH, LDH, uric acid and liver enzymes. Mann Whitney U test was employed to evaluate the significance of the differences obtained between the groups. Results: All three analytes were significantly higher in the case group when compared to controls. LDH and ALT (Alanine transaminase) showed significant difference even within the mild and severe preeclampsia groups. A moderate positive statistically significant correlation (r=0.348, p=0.006) was obtained between serum TSH and LDH. Serum TSH level showed a sensitivity of 66.64%, specificity of 73.33% and a positive predictive value of 71.4%. A De Ritis ratio of 1.82 was observed in preeclampsia. Conclusion: TSH, LDH and Uric acid showed significant elevation in preeclampsia. TSH and LDH levels showed a positive correlation. Hence, TSH, LDH and Uric acid could serve as markers of preeclampsia. A hypothyroid status in early pregnancy might be seen as a risk factor for preeclampsia. An elevated ALT and a high De Ritis might indicate an underlying liver and cardiac compromise in preeclampsia.

Provides reliable contact information about patient care and safety. Analysis of the lack of reports between hospital and emergency room personnel indicates incomplete or lack of general information. Nurses play an important role in dissemination and dissemination of information by using nurse directives. Sharing information in a hospital affects patient safety and treatment plans and delivery based on this information. Test modifications that were used for the comfort of patients entering the ambulance for several days decided to participate in this study. Sample size should take into account sales that occur evenly throughout the month, with each change and day of the week. Documenting the content of the reports submitted will affect breastfeeding practices. You can also use the standard login format and technology to improve content delivery.

In order to obtain the optimal extraction conditions of anthocyanin in purple eggplant peel, purple eggplant peel was used as experimental material, the single factor test conditions were screened through determinating the content of anthocyanin in the crude extraction solution. The optimum range of the concentration of ethanol, the ratio of liquid and material ratio, the time of extraction, and the temperature of extraction were determined. Then the quadratic regression orthogonal rotation combination design was used to optimize the extraction process of anthocyanin. Four factors and regression model of content of anthocyanin were obtained. The results showed that the factors affecting the extraction efficiency of anthocyanins were as follows: the concentration of ethanol > the temperature of extraction > the ratio of liquid and material ratio > the time of extraction. Finally, the optimum extraction conditions of anthocyanin extracted from purple eggplant peel were obtained as follows: the concentration of ethanol was 78.6%, the ratio of liquid and material ratio was 60:1 (mL g-1), the temperature of extraction was 20 ℃, the time of extraction was 150 min, and the content of anthocyanin was up to 4.2399 (mg g-1). The crude extracting solution of anthocyanin was clear and stable, and the color of stable extracting solution was dark red. The validation experiment was carried out at the optimized conditions, and the preferable results were obtained, which showed that the optimization of extraction technology of anthocyanin in purple eggplant peel by this method was reliable, and which had practical guiding significance.

Valvular heart diseases affects millions of patients worldwide, and the burden is rising as the population ages. Severe valvular heart disease is associated with significant morbidity and mortality, claiming over 50,000 lives annually in the USA [1]. Coumadin (generic name: warfarin) is an anticoagulant, which stops the formation of blood clots and makes blood thinner (less viscous). As for Vitamin K, it helps the process of blood clotting. In other words, warfarin has the opposite effect to Vitamin K. Warfarin is a widely used and cheap drug which decreases the risk of thrombosis or embolism in patients with diseases such as atrial fibrillation (AF), venous thrombo-embolism, and mechanical heart valve surgeries. Treatment with warfarin requires close monitoring with regular tests of PT-INR for better outcome of patients [2]. The purpose of the study is to shorten and simplify the process for the testing and prescription of warfarin by introducing point of care analysis (POC). The aim was also to evaluate changes in time and cost related to the new processes. Effective management of warfarin therapy is frequently challenged by its difficult pharmacology and adverse effects. One strategy to ensure safe warfarin use is provision of comprehensive warfarin education to patients regarding self-testing and self-management of accurate dose according to INR value. Point of care INR monitoring has shown beneficial impacts on the risk of thromboembolic events, anticoagulation control, patient satisfaction, and quality of life [3].

This research is to test the influence of professional commitment and locus of control on whistleblowing intensity through ethical sensitivity at Public Accounting Firms in Makassar. Data was obtained from 4 Public Accounting Firms in Makassar. Primary data was obtained through field research by distributing questionnaire/statement sheet to 31 respondents. Data analysis method was path analysis processed by SPSS-21 program. The research results show that professional commitment and locus of control have partial positive and significant effects on the ethical sensitivity. In addition, professional commitment has positive and significant effects on whistleblowing intensity, locus of control has positive yet insignificant effects on whistleblowing intensity, and ethical sensitivity has positive and significant effects on whistleblowing intensity. Meanwhile on the intervening variable, professional commitment and locus of control have partial effects on whistleblowing intensity through ethical sensitivity.

A medico-legal autopsy on an adult if performed completely and systematicall, with a reasonable uniformity and clarity can help in the betterment of outcomes while providing justice. The pre-requisites prior to an autopsy, and a thorough external examination are very important before moving on with the internal examination. In many situations a proper external examination will be sufficient to give a medico-legal report; if done methodically. There are four types of skin incisions employed in a medico-legal autopsy to examine three body cavities. The internal examination can be done using four dissection techniques as outlined in the existing literature. Examination of brain, heart, neck structures, spinal column and genitalia are very important and requires an organized approach in order to not to miss salient findings. Finally, while closure of the cadaver the doctors must bear a very important fact in mind that the body on the table was once housed by a living being and hence s/he must be treated with the same respect and dignity as one would expect him/herself to be treated by others.

The study examined the impact of working capital management on the profitability of Pharmaceutical firms listed on the Nigerian Stock Exchange market. Correlation and ex-post facto research design were used in a sample of 5 Pharmaceutical firms. Secondary data for a period of 5 years (2013-2018) was used, and Ordinary Least Squares (OLS) multiple regression was employed in data analysis. The study found that working capital management (account receivables collection management, accounts payables management, inventory management, cash conversion cycle management, operating cash flow management) has a significant impact on the profitability of listed pharmaceutical firms in Nigeria. It is therefore recommended among others that managers should focus on reducing inventory days, collect receivable as soon as possible because it is better to received inflows sooner than later, and delay payment of creditors in order to invest the money in short-term securities which are profitable. Also, the cash conversion cycle should be elongated to the extent that it maximizes profit.

Aim: To assess the effects of a voluntary, community-oriented campaign using social media through a multidisciplinary approach on body weight. Setting and Design: A survey, community-oriented using popular social media accounts. Methods: 268 followers from the community participated in the study using a questionnaire, which was constructed by a study group and self-filled online using google drive. Results: A total of 268 followers participated in the study. A healthy program had been applied by 43.3% of the survey respondents, consisting of a unified healthy diet and mild-moderate intensity exercises for less than a year, while only 13.1% applied it for more than a year. Almost half the survey respondents (48.5%) followed the campaign for less than one year, and 41.8% for more than one year. There were changes in diet and nutritional habits on the followers, after following/applying the healthy program. Their habit of practicing physical activities was improved. The voluntary community campaign raised awareness among participants and produced positive psychological eating behavioral changes. Conclusion: There was a significant difference in weight reduction after following the healthy program for more than one year and to a lesser extent for those who followed it for less than one year.

Assembly line balancing (ALB) is used in many industries to minimize the number of stations, improve the efficiency and work load balance among stations. Enhanced Genetic Algorithm (EGA) is proposed using precedence preservative crossover and scramble mutation techniques, aiming to minimize two objectives; number of stations as a primary objective and smoothing index as a secondary objective. Benchmark problems were selected from the literature, used to test the efficacy of the algorithm and to compare the results with the well-known algorithm SALOME. The results showed high efficacy while handling two objectives. It outperformed SALOME in work load balance and efficiency. On the other, EGA outperformed the Genetic Algorithm (GA) developed by [1] in minimizing the number of stations.

Mucormycosis is an opportunistic fungal infection primarily caused by fungi belongs to class Zygomycetes, order Mucorales and family Mucoracae. It is common in patient with diabetes mellitus (DM), systemic immunocompromise and iron overload. Here by we present a case report of Rhino- Orbito Cerebral Mucormycosis which is fatal if undiagnosed and unterated in correct time and way.

Generalise gravity model used to evaluate the effect of exchange rate volatility and exchange rate regime on bilateral exports of Pakistan. A bilateral data set of major exports partners the USA, UK, UAE, Hong Kong and Germany for period 1982 to 2015 used in a panel framework. ARCH, GARCH, moving average standard deviation methods used for measuring volatility in bilateral exchange rate. The results found conclude that economics size (GDPJ/GDPPAK) has a significant positive effect. Distance (DIS) and relative prices (RP) are significant negative effects; exchange rate volatility and free-floating exchange rate regime have a significant positive effect on aggregate bilateral exports of major trading partners of Pakistan.

Objectives: The study was planned to evaluate the role of morphometric analysis of foramen magnum in determining sexual dimorphism. Also, we have compared the measurement of foramen magnum with age of individual. Material & Methods: study was retrospectively and scans of CBCT were retrieved from archives of department. Length and width of foramen magnum in adults was measured. The data was statistically analyzed. Results: Mean length and width of foramen magnum was greater in males (34.65mm, 31.22mm) as compare to females (33.59mm, 30.11mm) and it was statistically significant (p<0.05). Mean length decreased in dimension i.e. from 35.22mm to 33.73mm as age progressed (18-60 years). Conclusion: Sexual dimorphism can be determined using foramen magnum dimensions. However, age estimation by morphometric analysis of foramen magnum requires more research.

This paper addresses the importance of kinesitherapy in improving coxarthrosis. Coxarthrosis is also known under the names of hip arthrosis and hip osteoarthrosis and it represents a degradation of the hip joints caused by a morphological and functional lack of balance, being the most frequent hip disorder. The aim of this work is to propose a kinesitherapy programme that slows down the evolution of joint injuries, in the presence of a physical therapist, but also a potential use of the respective programme in the situation of the necessity of an intervention through kinesitherapy in the absence of a specialised physical therapist, because in progressive degenerative diseases, patients are obliged to continue their programme at home. Following the development of the experimental kinetic programme, the subjects were evaluated by means of the Lequesne questionnaire for hip arthrosis, the control of active and passive joint mobility; global muscular power was tested, and on the basis of Trendelenburg’s sign.

Stem cells are biological cells that are undifferentiated and can be differentiate into specialized cells. They are of embryonic or adult stem cell. Another classification is dental pulp and bone marrow- derived. Bone marrow type stem cells are commonly used for regenerative procedures in prosthodontics. They have excellent regenerative ability without neoplasm formation. They help to build the bone structures of the craniofacial region, particularly the maxilla and mandible. Stem cell therapy can revolutionize next era in regenerative prosthodontics.

Claim has always been made that thought and language are inseparatable phenomena. Accordingly, major debate has revolved around the dependence or interdependence of language and thought. Based on linguistic relativity hypothesis, our perception of reality depends on the language we speak. The counterclaim has also been made that languages are not so much different and this makes us skeptical of the idea that their speakers have different thoughts. Some hold the belief that language may not serve a proper medium for thought, mentioning extralinguistic drawbacks such as ambiguity, deixis, and co-reference. All in all, it seems rational to maintain that thought and language have compromised to coexist and attempts to prioritize one over the other are mythical if not too much simplistic.