Asymptomatic bacteriuria spans all age groups from neonates to elderly. It is much more common in boys during first three months often in association with urologic abnormalities. During preschool years it is common in girls than boys. Presence of bacteriuria in childhood defines a population at higher risk for development of bacteria in adulthood [1]. The present study was carried out in Department of Microbiology, in a tertiary care hospital, over a period of one year from Jan 2016 – Dec 2016. A total of 100 childrens of all age groups and both sexes were selected for this study. In the present study sample size was equally divided among male and female. ABU +ve came in 7 male children’s, out of which 3 cases were belongs to 6-10 years age group, 4 cases belongs to 11-18 years of age group. ABU +ve came in 11 female children’s, out of which 6 cases were belongs to 6-10 years age group, 5 cases belongs to 11-18 years of age group. Recent advances in research support considering ABU a separate entity from symptomatic UTI. Furthermore, in contrast to historical recommendations, recent evidence demonstrates there is minimal benefit and potential harm associated with the treatment of ABU. The current recommendation is not to treat ABU in the pediatric population, with the exception of renal transplant recipients and children undergoing urologic procedures.

The strategy is a plan, implementation, and control in achieving long-term goals. Strategic management is an effort to achieve certain goals through the activities of others so that coordination is needed for the activities of planning, staffing, directing, and controlling in the long run. This study aims to develop a strategy for implementing the operational department procedures at the company PT "X" which has been standardized in the standard operating procedures integrated with computer programs. The research method used in this study is a qualitative analysis method trough interview, observation and documents. The result of analysis are operating procedures Standard of PT”X” are prepared in accordance with ISO 9001 requirements including: Control of Documents and Data (article 5), Process Control (article 9), Inspection and Testing (article 15), Identification and Product Traceability (article 18). The operating procedure standard of PT “X” is using: a. Job and activity, b. Format, c. Quality control. Standard of Operating Procedure for Marketing Division at PT. "X" consists of: Standard of Operating Procedures for Selling Consumer Shipping Services as follow: 1) Standard of Operating Procedures for Selling Consumer Services. 2) Standard of Operating Procedure for Making Shipping Services Cooperation Contracts. 3) Standard of Operating Procedure for Contract Cancellation. 4) Standard of Operating Procedure for Delay Fines. 5) Operational Standards Report Making Procedures and Performance Reporting Marketing Division. The Operating Procedure Standard of Document Management Divisipn as follow: 1) Standard Operational Procedure for Arranging the Decent Approval/Permit Document (SPB or letter of approval for shipping). 2) Standard of Operating Procedure for Document Management in the Transportation Department. 3) Standard of Operating Procedure for Port Document Management. 4) Standard of Operating Procedure for report making and performance document management division

Acute appendicitis is one of the most common surgical cause of acute abdomen with life time risk of 7%. A 5-year study was conducted and it comprised of all the surgically resected appendices submitted to department of pathology, AlAmeen medical college, Bijapur. The study analysed various histopathological diagnoses, demographic profile and the rates of negative appendectomy. Total 777 cases were analysed, among them 392 were females and 385 were male, highest number of cases were seen in first and second decades of the life. It was found that acute appendicitis was more common in females and incidence of recurrent appendicitis is slightly higher in males. 18% of acute suppurative appendicitis was seen and 23 cases of acute eosinophilic appendicitis was noted. In present study, 25.7% of cases with faecolith in the lumen of appendix was noted. Parasitic infestation can cause blockade of the lumen leading to appendicitis. In our study only 2 (0.26%) cases had a parasitic infestation and enterobius vermicularis was the parasite identified in both the cases. The percentage of negative appendicectomy in our study was 5.15%. Negative appendicectomy was higher in females (62.5%) compared to males. Thus, in present study recurrent appendicitis was more common than the acute appendicitis, maximum number of cases were in the age group of first and second decades of the life, faecoliths considered very common cause of appendicitis was noted only in 25.7% and negative appendicectomy was more common among the females.

Healthcare-associated infections (HCAI) are a major setback for any organization. The most important mechanism of spread of these HCAI is via the contaminated hands of the healthcare givers that is doctors, nurses, other staff or relatives/friends of the patients. Contaminated environmental surfaces are another important reservoir for the spread of these infections. However, they are often under recognized. HCA is one of the most important public health problems in most countries of the world. In any healthcare setup basic infection control, measures can reduce the rates of healthcare-associated infections, which help to reduce the length of stay, nosocomial infection and cost. It is important to implement the quality system which can be executed and monitored by using compliance measures in the routine process of the hospital in order to improve the standard of patient health care. The quality of hospital infection control program is a reflection of the overall standard care provided by the institution. The current study is aimed to help in assessing the pre-existing knowledge regarding infection control practices among doctors and nurses. In our study, both doctors and nurses had a fair knowledge about the spread of nosocomial infections, practised safe patient-care protocols, and had positive attitudes. Still, some gaps have been identified in their knowledge and practice of infection control. It is suggested that an effective training sessions should be organized at the time of hire and in-service periodically which might help to decrease the healthcare associated infections.

The essential step in the assessment of patients for a probable bleeding disorder is to evaluate the severity of bleeding symptoms. To improve the compilation and precision of the patients with history of bleeding symptoms, several Bleeding Assessment Tools (BAT) have been anticipated. A structured questionnaire was approved by the ISTH/SSC-BAT together in year 2010. In our study, data from 99 normal adults (42 females and 57 males) from Uttarakhand were analysed this score (ISTH/SSC- BAT). Mean age of the adult population was 29 year. Normal range obtained were 0–3, 0–5 for males and female respectively after removing the outliers. The median BAT score was 0 in adult males and 1 in adult females. This information may now be used to evaluate the history of bleeding symptoms as a normal or abnormal in the state of Uttarakhand. We aim to standardize this score system in the population of Uttarakhand in our study and improve diagnostic accuracy at a low cost and grass root level.

Arbitration, the contractual alternative of dispute settlement, though it has scored greater efficiency and become a venerable mode of dispute settlement in this business world; it has been encumbered by court intervention, nowadays. Court intervention is appropriate and justified almost in all jurisdictions in different degrees and contexts. However, unless its justifications, instances, and extent are well stipulated and fettered under national arbitration law, unwarranted interventions could restrain arbitration proceedings so that parties’ whished benefits and interests remain in vain. Therefore, this article is going to deal with rationalities, instances, and the extent of court intervention in arbitration proceedings. In doing so, it strives to divulge the extent of court intervention under international and Ethiopian arbitration laws. For this, the article uncovered that Ethiopian arbitration law is exposed to unwarranted and inimical court intervention in arbitration proceedings. There are premature court interventions and broader judicial review circumstances under the Civil Procedure Code and the Civil Code of Ethiopia. Underscoring the existence of the higher extent of court intervention instances, this article also tried to pinpoint solutions calling for an optimal extent of court intervention in arbitration proceedings. In doing so, parties can have a fair degree of autonomy and freedom guaranteeing and underpinning an efficient arbitration system. Last, as a way forward, the article has also called, including ratification of the New York Convention (1958), modification of the Ethiopian arbitration law in light of the modern arbitration laws from the international arbitration laws, foreign jurisdictions, and arbitration rules of renowned arbitral institutions.

Frozen section provides a rapid diagnosis intra or perioperatively that guides the surgeon to make a therapeutic decision for the patient’s health benefit. The comparison between the frozen section diagnosis and permanent section diagnosis is an integral part of quality assurance in surgical pathology. This study was performed to assess the diagnostic accuracy of frozen section at different anatomic sites assuming histopathology as a gold standard. This prospective cross sectional study was performed in the Pathology laboratory adjoining the operation theatre and Department of Pathology S.M.S Medical College and Hospital, Jaipur, during a period of 2 years from January 2017 to December 2018. The results of 170 cases of frozen section were compared with their permanent section diagnosis and analysed. A total of 224 frozen section specimens from 170 cases were studied. The diagnoses were deferred in 4 (1.79%) specimens. Out of remaining 220 specimens, the concordant and discordant diagnostic frequencies were 215 (95.98%) and 5 (2.23%) respectively. Discrepancies were mainly related to misinterpretation, sampling and technical errors. The overall diagnostic accuracy was 97.73%. The sensitivity, specificity, positive predictive value and negative predictive value were 92.68%, 98.88%, 95% and 98.33% respectively. The average turn-around time calculated was 20 minutes. Our study concurred that the frozen section is a rapid, reliable and an accurate technique to guide the surgeons in deciding the best therapeutic approach for the patients. The accuracy rate can be further improved by regular monitoring of frozen section performance.

Background: Endometriosis affects approximately 6%–10% of women of reproductive-aged. Pain is the common symptoms associated with endometriosis and manifests as dysmenorrhea, chronic pelvic pain, dyspareunia, and/or dyschezia, can be debilitating. Aims and Objectives: To find out the association between type and degree of pelvic pain with the Revised American Society for Reproductive Medicine classification system. Materials and Methods: Thirty women with endometriosis were studied in Department of Obstetrics and Gynaecology. Pain intensity was assessed by visual analogue scale (VAS) and a score of 1-3, 4-6 and ≥7 is classified as mild, moderate and severe pelvic pain. Disease was staged as per the American Society for Reproductive Medicine (ASRM) classification system in grade I to Grade IV and pain severity was compared. Results: Mean age of study cohort was 30 ±5.75 years. Majority of the women with endometriosis were in stage III (36.66%), stage IV (30%) and stage II (23.33%). Distribution of type of pain across the ASRM stages was insignificant (p >0.05). Distribution of visual analogue scale for pain with ASRM Staging was statistically significant (p=0.001). Conclusion: We did not find any association between type of pain and ASRM stages however severity of pain has a significant association with ASRM stages.

Remittance is one of the key locomotives of economic growth and poverty reduction in developing countries because it serves as development finance needed for investment purposes. This study sheds new light on this question by examining the impact of remittances on private investment in Nigeria. Data on remittance inflow in Nigeria was retrieved from World Development indicator. Error correction and Ordinary least squares is applied for this purpose. The result reveals that remittances increase the rate of private investment in Nigeria and the previous investment is a determinant of the current investment. It is therefore recommended amongst others remittance-receiving households should be encouraged to invest remittances in small and medium scale enterprises rather than use it for the consumption of goods and services.

Background: Prevalence of Acute Myocardial Infarction (AMI) in younger age is increasing in worldwide and it has been reported that 60% of AMI in young age is due to genetic causes. SNP inPAI-1 4G/5G plays major role and there is a need to authenticate its effectiveness and sensitivity. The aim of this study is to ascertain SNP in PAI-1 (4G/5G) as an independent biochemical marker for the South Indian young AMI patient’s less than 45 yearsand to find its association with other risk factors of AMI. Methodology: This cross sectional study subjects includes40 Patients aged less than 45 years with AMI withtypical chest pain, ST Elevation in ECG and a rise in serum CK-MB, without any other known risk factorsand age and sex matched 40 control. ARMS-PCR was done with separated DNA. Remaining Serum was used to analyze Urea, HDL, CK-MB and other factors. Finally statistical analysisis done using SPSS-20.0. Result: Statistical analysis showed significant variation of SNP inPAI-1(P ≤ 0.001) between patients and controls. Further, positive significant changeswere observed between patients and controls in Serum Urea: P ≤ 0.001, Serum Glucose: P ≤ 0.04, Serum AST: P ≤ 0.001, Serum CK-MB: P ≤ 0. 001. A significant inverse association was observed in SNP of PAI-1 and Serum HDL. Conclusion: This study confirms the independent association between STEMI and the 4G/5G allele polymorphism among South Indian euthenics and an inverse association of 4G/5G polymorphism with Serum HDL-cholesterol levels.

Ischemic colitis goes unrecognized as a complication in intestinal neoplastic disorders because of their unique morphological features which vary depending upon haemodynamic status. The two cases presented here show even though ischemic pathogenesis is the underlying factor responsible for this condition; morphologically they are heterogenous and they are described in detail.

This study aims to examine the direct influence of organizational culture (X1), leadership style (X2) and job satisfaction (X3) on the performance of principals (X4). The correlative descriptive quantitative research methods will explore information about organizational culture with leadership styles in achieving job satisfaction for high school teachers and staff on the performance of principals in Riau Islands Province. Variable data were obtained through the instruments of 35 variable items with Likert scales score in rank 1–5. Management of Islamic Education Institutions implements Organizational Culture with effective and efficient leadership styles. Supervision continues to be carried out by implementers of education, government, and end users, as an effort to improve the quality of national education and the quality of the quality of Indonesian society carried out in a sustainable manner. It utilized not only the science, the technology in advances but paid the attention to global challenges as well. The Islamic education management system is a coordinative, systematic and integrative process. The process starts with organizing planning, mobilizing, and monitoring. Based on the results of the variable calculation together affecting the performance of the principal (X4) obtained a value of 91% so that H0 is rejected and Ha is accepted. It can be concluded that organizational culture, leadership style, and job satisfaction have a significant influence on the performance of the principal

Burns are one of the most common and devastating forms of trauma. Patients with serious thermal injury require immediate specialized care in order to minimize morbidity and mortality. Data from the National Center for Injury Prevention and Control in the United States show that approximately 2 million fires are reported each year which result in 1.2 million people with burn injuries. The present study, “Bacteriological profile of burn wound infections” was carried out in Department of Microbiology, in a tertiary care hospital, over a period of one year from Jan 2016 – Dec 2016. A total of 50 patients of all age groups and both sexes admitted in our Burn Care Unit were selected for this study. In the present study, Majority of patients were in the age group 31-40years. Out of 50 patients studied, 28 patients were male and 22 patients were females. A total of 128 organisms were isolated and Pseudomonas aeruginosa (44 cases) was the most common isolate followed by Staphylococcus aureus (37 cases) and coagulase negative staphylococci (29 cases). The other isolates included Klebsiella pneumonia, Escherichia coli, Proteus mirabilis, Citrobacter freundii and Enterococcus species. Modern infection control practice has been effective in reducing or eliminating endemic pathogenic and/or antibiotic-resistant organisms, preventing the establishment of newly introduced pathogenic and/or antibiotic-resistant organisms as the predominant nosocomial flora of the burn unit, and preventing reseeding of such strains back into the burn unit from patients housed in the adjacent convalescent ward.

Nowadays the automotive industry in Indonesia is becoming increasingly competitive, causing an intense competition among the ATPM (Single Agent of Brand Holders), as well as competition between existing automotive manufacturers (sole agent) and newcomers. In the midst of the current business industry and its competitive environment, various strategies were implemented by the company in order to maintain its customers, and to win the competition by increasing its market share. Customer satisfaction has become one of important focus for many companies. This study aims to examine and analyze the effect of product quality and after-sales service on customer satisfaction at an authorized Mazda Serpong Dealer, Tangerang. The sample used in this study were 200 respondents from customers at Mazda Dealer Serpong, Tangerang. Sample size determination using Hair’s formula. Hypotheses of the study analized by using multiple linear regression performed with SPSS 2.4. The sampling technique uses purposive sampling. The results showed that the quality of the product significant and positive affect on customer satisfaction. And after-sales service is also significant and positive affect to customer satisfaction. Other results shows that the quality of products and after-sales service of significant and positive affects on customer satisfaction simultaneously

This study aims to analyze several decesive determinants such as; direct compensation, indirect compensation, and employee status toward employee performance at PT. XYZ engaged in telecommunications infrastructure. The population of this study is all the employees in the business unit of PT. XYZ who are 56 employees, due to the total population is not greater than 100 respondents, the research sample is 100% of the population in the business unit of PT. XYZ. Data collection techniques used in this study was using questionnaire instruments which distributed to respondents in the business unit of PT. XYZ was held in November 2017 until March 2018. The data analysis technique used multiple regression analysis by using SPSS 24.0 to test the hypotheses, classic assumption test, reliability, instruments validity or measuring instruments which used. The finding in this study indicates that direct compensation, indirect compensation, and employee status have a significant and partial effect toward employee performance of PT. XYZ. This research certainly also has a number of managerial implications which are the practitioners must pay more attention to employee performance appraisal programs, providing compensation related to mandatory allowance, non-compulsory allowance, and program benefit which also defining a career path that is evident for the contract employees must be translated in employee career planning, so that all the employee are motivated to achieve their career goals in accordance with the target and the implementation of compensation online dashboard which must be performed by PT. XYZ, so that employees can access their right and obligation transparently or openly