Dyslipidemia is a common finding in patients with thyroid disease, explained by the adverse effects of thyroid hormones in almost all steps of lipid metabolism. Clinical hypothyroidism, through different mechanisms, are associated with lipid alterations, mainly concerning total and LDL cholesterol and less often HDL cholesterol, triglycerides, lipoprotein (a), apolipoprotein A1, and apolipoprotein B. In addition to quantitative, qualitative alterations of lipids have been also reported, including atherogenic and oxidized LDL and HDL particles. In thyroid disease, dyslipidemia coexists with various metabolic abnormalities and induce insulin resistance and oxidative stress via a vice-vicious cycle. The above associations in combination with the thyroid hormone induced hemodynamic alterations, might explain the increased risk of coronary artery disease, cerebral ischemia risk, and angina pectoris in older, and possibly ischemic stroke in younger patients with overt or subclinical hyperthyroidism. This article presents a correlation study between hypothyroidism, Apo B and Apo A. It has been found that the 55 subjects enrolled in this study show a significant correlation between TSH and Apo B.

This study aims to find out how the basic idea of the existence of a Reviewing Institution in criminal proceedings in realizing legal certainty and justice; Implications of the decision of the Constitutional Court Number 66/PU-XIII / 2015 and the formulation policy on future review of the Criminal Procedure Code. This research is normative legal research. The approach used is the law approach; conceptual approach and comparative approach. The results of this study are: In accordance with the nature of the final and binding decision of the constitutional court, the Constitutional Court Decision Number 66 / PU-XIII / 2015 refers to the fundamental principle that justice is the highest legal objective. Citizens' rights as guaranteed by the constitution must not be restricted because they are guaranteed by the constitution. Based on a comparative formulation study in several countries such as in the Chinese Criminal Procedure Code and the Dutch Criminal Procedure Code, the regulatory norms regarding the number of times the Submission of Judicial Review may be submitted are not formulated but the KUHAP of the two countries further regulates in detail the mechanisms and procedures for the Judicial Review. Then the policy formulation of norms for reviewing the KUHAP in the future in addition to referring to the comparison but also must be constitutional in accordance with the decision of the Constitutional Court Number 66 / PUU-XIII / 2015.

Lupus podocytopathy is a recently described phenomenon characterized by diffuse foot process effacement without peripheral capillary wall immune deposits and glomerular proliferation. It has been described in systemic lupus erythematosus patients with nephrotic syndrome in case reports and a few series. The term of lupus podocytopathy denotes that it as lupus nephritis-related phenomenon, however, the theory of coexisting minimal change disease is also a possibility. Each theory has its own supporting clinical and pathological facts. This literature review is made for a comprehensive analysis of the available clinical circumstances and histological data of the reported cases. Also, it elaborates on the pathological background for both diseases process. The aim of this review is to reach an optimum categorization of this phenomenon.

Purpose: To investigate the effect of using mucoperiosteal-bone flap split technique when width of alveolar bone ridge is insufficient. Methods: The width of alveolar bone ridge is 3-5mm. Patients underwent mucoperiosteal-bone flap splitting. A horizontal incision was made at the top of the alveolar ridge, and two vertical incisions at the mesio-distal alveolar bone, and the whole layer of the periosteum was cut through. The cortical bone was cut using an ultrasonic scalpel. As a result, the mucoperiosteal-bone flap was split. Results: The narrow alveolar bone was succeeded to be split. And gingiva was not recessionary, split bone was not necrotic after operation. Conclusion: Mucoperiosteal-bone flap split technique can solve the problem of insufficient bone width.

Background: Pertussis is a life-threatening type of infection in non-immune infants younger than six months of age. Vaccination of pregnant women with tetanus, diphtheria, and pertussis vaccine (Tdap) may facilitate the transfer of maternal antibodies to the fetus, this method may provide protection against pertussis in these newborns. This study will examine the seroprevelance of Bortedella pertussis antibodies in pregnant Saudi females. Methods: This is a crosssectional study in which 258 pregnant females of different age groups in the second and third trimesters who underwent antenatal checkups at King Saud University Medical city, Riyadh, between April 2017 and March 2018 were enrolled. Serum levels of B. pertussis antibody were measured using the enzyme-linked immunosorbent assay (ELISA) technique. Results: From 258 blood samples,234(90.69%) females between 28 and 45 years of age were non immune to pertussis,12(4.6%) showed borderline immunity, and 12(4,6%) were immune. Conclusion: The majority of tested pregnant Saudi females were non-immune to B.Pertussis despite the expanded Saudi program of immunization (which recommends that the last dose of DTap be given to preschool-age children). This study emphasizes the importance of implementation of Tdap vaccination program in pregnant Saudi females.

Salary is one form of compensation from an organization that is given to employees for their performance. The compensation could be financial or other forms. By compensating the expected performance of teachers will increase.A form of compensation given that the salary, allowances, incentives, benefits and nonfinancial. Salary is given by considering the employment status, the number of teaching hours and the long term. The benefit there is in the form of structural and functional. Incentives in the form of bonuses, extra overtime, official travel, other forms related to job performance. Compensation that is in the form of a death benefit and the cost of delivery. For non-financial compensation in the form of vacation and recreation. The constructed compensation system is to assign a job analysis component, set the level of compensation and the granting of compensation, as well as a review of compensation. Performance educators/teachers with the implementation of their compensation systems increased to more discipline and enthusiasm in guiding learners to get good performance

In light of faltering sustainability in growth and development in Nigeria, this study evaluates the Micro Finance Banks Sectoral influence on the development of the Nigerian Economy over the period of 1992 to 2017, utilizing secondary data culled from the Central bank of Nigeria Statistical Bulletin and the World Bank. The study employed the use of Stationarity, Multiple Regression, Johansen’s Co-integration and Error Correction estimates. While the Co-integration results indicated significant long run relationship among the study variables, the Multiple Regression and Vector Error Correction estimates both point to Apportioned Microcredit to mining/quarrying, real estate/construction and transport/general commerce sectors as the sectoral microcredit that significantly influence Nigeria’s human development index both in the short and long terms respectively. Only Apportioned Microcredit to the mining/quarrying, real estate/construction and transport/general commerce sectors are valuable in predicting variations in economic development as captured by Human Development Index. In light of the above, it was thus recommended that other sectoral activities should be revamped according to their level of insignificance as more efforts should be devoted to the Agricultural sector, manufacturing sector and other sectors of the economy and there should be incentive to sensitize the populace about microfinancing which would bolster deposit based and help disbursement in the right direction, promotion of economic, political and social stability amongst others

Objectives: The study aimed to evaluate the prevalence and patterns of impacted and transmigrated canine and associated pathologies in a dental population. Methods: The panoramic radiographs of 5531 patients [1820 (32.9%) male and 3711 (67.1%) female] who attended to several dental clinics between August 2018 and January 2019 were retrospectively evaluated. The number, position, impaction and transmigration of canine were noted. An impacted canine was diagnosed to be transmigrated when at least part of its length had crossed the midline. The presence of other coexisting anomalies was also noted. Results: A total of 388 patients (7.0%) presented with at least one impacted tooth. The most common impacted canines were in the maxilla among 368 (94.8%) patients, while 51 (13.1%) patients showed impacted canines in the mandible. About 32 (8.2%) patients showed both co-existed maxillary and mandibular canine impaction, while 126 (32.5%) impacted canines were bilateral either in the maxilla or in the mandible. Transmigrated canine was observed among 26 (6.7%) of impacted canine patients. Impaction of other teeth was found among 173 (44.6%) patients. Certain anomalies were co-existed along with canine impaction in 98 (25.3%) patients. Pericoronal radiolucency was the most common am-ong 84 (21.6%) patients followed by dentigrous cyst among 23 (5.9%) patients. Other anomalies were supernumerary teeth among 5 (1.3%) patients, and odontoms in only 1 (0.3%) patient. Conclusions: The prevalence of impacted teeth was high, and there was a predilection for impacted teeth in the maxilla. Pericoronal radiolucency was commonly seen in relation to the impacted canines followed by dentigrous cyst.

In today's generation, a gadget becomes an indispensable companion that becomes our means in achieving the goal. This study determined the use and effects of social media to the values of tertiary school students, which can be used as a basis for the development of an educational program. A descriptive approach was used wherein the respondents were 80 students of Cagayan State University. A questionnaire was used as a guide which covers the demographic profile, favorite networking sites, effects, and benefits they obtain from using social media. In general, it is found that the benefits and effects of social media are significantly related to the values of young adults. Facebook/Messenger, Twitter, and Instagram are the top three social media sites used by the students. Majority of the student respondents strongly agreed that their day is not complete if they do not open their social media accounts, but overall social media has an excellent effect on the students. In terms of benefits they get from social media, it garnered a 4.252 over-all mean, which implies that most of the respondents obtain excellent benefits from using social media. As to the values of young adults, there is a significant impact on the students, especially in academic purposes and real-life lessons. It is therefore recommended that students should be introduced to sites that can add values to their academic work and research.

Background: There is no standard protocol for treating oral lichen planus. We need to develop potent alternative immunosuppressive agent to benefit the patients. Aim: To investigate the efficacy of 0.1% tacrolimus with Colgate Oraguard-B paste for the treatment of patients with oral lichen planus. Methods: One hundred patients with clinical evidence of the lesion of oral lichen planus followed by histopathological confirmation seeking care at outpatient department were included in the study. Patients were provided with 0.1% tacrolimus ointment with Colgate Oraguard-B paste as the study medication. Reassessment was done from 3 months to 4 months, with follow-up of 2 years and 6 months. Results: Mean values of pre and post VAS (Visual Analogue Scale) for erosive and atrophic forms of oral lichen planus were 9.35±1.02, 2.96±0.24 and 7.82±0.56, 1.71±0.22 respectively. Similarly mean pre and post VAS scores for reticular and mixed forms of oral lichen planus were 4.16±0.44, 1.32±0.34 and 7.36±0.59, 3.33±0.48 respectively. Statistically significant results were obtained between pre and post treatment values on the Visual Analogue Scale among all forms of oral lichen planus. Conclusion: Topical tacrolimus ointment 0.1% with Oraguard-B paste showed us encouraging results for symptomatic Oral lichen planus. Clinical improvement was achieved in about a month’s treatment course.

Introduction: According to the characteristics of the service industry of the teaching archivists, an index system for the evaluation of the service quality of teaching archivists is established. By using the intuitionistic fuzzy set theory, the subjective evaluation information of the investigated object is converted into the intuitionistic fuzzy numbers. Based on the score function of the intuitionistic fuzzy set, a bidirectional projection-based multiple attribute decision making method with intuitionistic fuzzy numbers is developed. Through the bidirectional projection measure between each alternative decision matrix and the ideal alternative matrix, all the alternatives can be ranked to select the best one. Finally, an illustrative example related about the service quality evaluation of the teaching archivists demonstrates the application of the proposed method.

Background: Diabetes mellitus is a standout amongst the most widely recognized metabolic disarranges that follow by many complications and influence many body systems and organs make them less effective and these incorporate skeletal muscles. Aim: The aim of this study is to evaluate serum creatine kinase activity in Sudanese patients with type1 and type2 diabetes mellitus in Khartoum state. Material and methods: This study was case-control study and conducted during the period from April 2018 to November 2018, 90 participants (30 type1DM, 30 type2 DM as case and 30 controls).The samples was collected by simple random sampling technique through a self-administering questionnaire, Concentration of glucose was measured for each patient with GOD method, and activity of total creatine kinase was determined also CKMB activity was measured for the tow study groups and control group as marker of cardiac functions. The analysis of data done by SPSS version 21 using T-test for comparing mean and simple correlation for correlation of continuous numerical data. Results: There was a significant increase in glucose concentration in compare to control group p-value 0.000 in both type1and type2 diabetic patient compare to control mean±SD type1 (241.9±77.5) type2 (211.3±95.1) control group (111.1±36.4). There was a significant increase in activity of total creatine kinase (CK) enzyme in type1 and type2 diabetic patients in compare to healthy individuals the p-value 0.019 and 0.010 respectively mean±SD type1 (78.0±13.2 IU/L) type2 (71.6±10.0 IU/L) and control group (58.4±23.9 IU/L). There was positive insignificant correlation between the activity of total CK and age in type1 DM patient (R-value= 0.197, P-value= 0.297), but negative insignificant correlation between the activity of total CK and age in type2 DM (R-value= -0.269, P-value= 0.151). Positive insignificant correlation between duration of diabetes and the activity of total CK level in type1 (Rvalue=0.164, P-value=0.386) and type 2 (R-value=0.158, P-value=0.403). Negative significant correlation between glucose and total CK in type1 diabetes mellitus (R-value= -0.410, P-value=0.024) and positive insignificant correlation between glucose and total CK in type2 diabetes mellitus (R-value=0.091, P-value=0.633). Conclusion: The activity of total CK among diabetic patient with type1 and type2 diabetes mellitus was higher when compare to control group, there was also significant correlation between glucose and activity of total CK in type1 diabetes mellitus.

Self-injurious behavior (SIB) is a broad term, describing behaviour that causes harm to one-self. SIB are more prevalent among individual with intellectual disability. This individual are greater risk for developing both physical and mental health conditions including seizure, anxiety, mood disorder and psychosis etc. Management of people with self-inflicted injury, having Intellectual disability (ID) along with seizure disorder and psychosis is challenging. The purpose of this case report is to review clinical findings in a patient who presented with severe pain abdomen, vomiting, fever, difficulty in micturition and burning micturition. A case report of an 14year old girl of ID (IQ=53%) with seizure disorder and psychosis having self-insertion of bizarre objects through normal bodily orifices is presented. The physical examination findings- febrile, pallor positive and tenderness in left illac fossa. MSE findings- she was uncooperative to examination and exhibited oppositional behavior, disinhibited behaviour.she also display inappropriate smile towards nearby peoples and shows aggression, hostility towards her mother. No hallucinatory behaviour was observed. Radiological findings reveals-radiograph of pelvis AP view shows- linear opacity of metallic density, lying obliquely in lateral aspect of sacrum. USG whole abdomen reveals, foreign body in left illac regions with surrounding inflammation, sigmoid colon oedematous, along with enlarged lymph nodes. Diagnosis of SIB and MR with behavioural abnormalities and seizure disorder was made (ICD-10, F70.1 + G40). OT procedure is carried out to remove foreign body from body.

The durability of concrete constructions in aggressive media has been studied. We prepared samples of ordinary concrete with different natural pozzolana content of beni-saf as a substitute for cement. The main objective of this experimental work is to study the valorization of the natural pozzolana of beni-saf on the mechanical properties (compressive strength) and the durability of concrete (corrosion) in the aggressive environment. Through experimental results obtained, we conclude that beni-saf's natural pozzolana has a positive effect on mechanical properties and the effect is somewhat acceptable for concrete durability especially in the long run.

The perspective of this research is descriptive-qualitative with phenomenology design. Data were collected through interviews, observation and documentation. While the data analysis using grounded theory developed through several procedures, namely: Open coding, Axial coding, and Selective coding. The results of this research are: The role of Boarding School Amanatul Ummah in building the character of the young generation who study in the institution are as follows: Contributing to improve the character and attitude of the young generation by instilling religious values, responsibility value, and self-reliance value in accordance with the vision, mission, and objectives that have been set; Build, guide, and instill the values of character in the younger generation so that they are able to live the practice according to the teachings of religion; Build, guide, and instill the values of character in the younger generation so that they are able to be disciplined and responsible; Building, guiding, and instilling character values in the younger generation so that they are sensitive to the needs of society; And Build, guide, and inculcate the values of character in the young generation to contribute to the economic empowerment of the community. For students who perform will get reward breaking will be punishment, and Factors underlying Boarding School Amanatul Ummah in building character of young generation is to save mental frustration of young generation from bad influence of environment. Where the bad influence of the environment has attacked the younger generation from all directions