Endometriosis is a clinico pathological condition which can be associated with significant morbidity and its attendant complications. The disease can present with diverse manifestations. The causes and mechanisms can be varied. The Clinicians and Pathologists should be aware of the natural history and course of disease so that the patients can be counselled with regards to prognosis and management of disease. This study is an attempt to reinforce the Medical fraternity with updated scientific information of Endometriosis. Various Clinico-Pathological methods are described for accurate prompt and early diagnosis of Endometriosis, so that vulnerable patients are benefitted.

The Malaysian medicinal plant, Water Apple’ (Syzygium Aqueum) can provide bioactive compounds that help to support people suffering from many diseases. The present study is undertaken to investigate the phytochemicals and invitro antioxidant activities from extract of Water Apple fruits. Determination of phytochemicals and invitro anti-oxidative capacity, established assay method 2, 2 - diphenyl – 1- picryl hydroxyl (DPPH) radical assay, nitric oxide and superoxide anion scavenging activity assays were used with reference to standard antioxidants ascorbic acid and butyl hydroxyl anisole (BHA).The percentage inhibition of radical scavenging activity increased with increase in concentrations of extract and when compared with standard antioxidants. The results show that the extract of fruits of Water Apple possesses significant antioxidant activity when compared to standard antioxidants. These findings provide a strong rationale to establish Water Apple fruits capability as an anti oxidant capacity. However, in-vivo antioxidant activity and mechanism of action is needed to be further studied.

The existence of products with private label brands is a priority for the ritailer, because in addition to helping to increase the number of visits and sales in the store, it can also increase customer loyalty. The rapid development of private labels can be seen from the increasing number of types of private label products being marketed. But the development of sales of private label products at Alfamidi in 2017 is still not satisfactory and tends to stagnate. The condition of the consumption level of Alfamidi's private label products is still low, even though the company has approached various promotional activities. In this study is to obtain a model of repurchase intention and to know the effect of brand awareness, brand association, perceived quality, brand loyalty on the intention to repurchase private label products . This research was conducted with a quantitative approach and data collection techniques for questionnaires surveying 100 respondents at the Alfamidi research site in Tangerang City. The results showed that there was a significant influence between brand awareness, brand association, perceived quality, brand loyalty towards the intention to repurchase private label products . However, there is a negative relationship between brand awareness and repurchase intention. The contributions of the four variables amounted to 47.4% towards the intention to repurchase. This indicates that there are still 52.6% of other variables that are factors in influencing the intention to repurchase . This indicates that the brand is not a major consideration for consumers in buying private label products at Alfamidi stores . There are other factors such as products, prices, places, promotions and distribution channels.

Medan Zoo is located in Simalingkar Village B, Medan Tuntungan, about ten kilometres from the city centre towards Berastagi. Based on data obtained Medan Zoo has not been able to realize the amount of revenue that has been targeted. The present study aims to analyze the effect of service quality consisting of tangible, reliability, competence, courtesy, credibility, security, responsiveness, accessibility, communication, and understanding the customer to Medan Zoo visitors partially and simultaneously. The type of research is quantitative descriptive research. The questionnaires were distributed to a hundred visitors to Medan Zoo. Simultaneously, it has been found that there is a significant influence of service quality consisting of tangible, reliability, competence, courtesy, credibility, security, responsiveness, accessibility, communication, the customer's understanding on visitors’ satisfaction at Medan Zoo

Style of communication in the patriarchal context cannot follow the normative leadership, so that women must be able to exploit in the field. The aim of the study was to analyze the ability of women as leaders by describing the characteristics and to analyze the communication style of female Headman in Bekasi region. This research was conducted due to the increasement of government support for the role of women in sustainable development (SDGs). The approach to this research was qualitative, namely by conducting in-depth interviews with the female Headman. The sampling technique was conducted purposively. Result showed that Mrs. Sophi as female Headman in Jatiluhur Bekasi region had leadership characteristics, namely intelligent by having a master degree in educational background, broad social relations which were demonstrated by making direct visits to residents so that she knew the needed and what problems that were faced by the residents. The leadership communication style of Mrs. Sophi (female Headman in Jatiluhur Bekasi region) was a feminine-masculine communication style (situational female leadership communication), this was demonstrated through a direct communication style. The firmness of Mrs. Sophi in communicating with her residents was conducted by a situational approach.

Background: Reports have shown that approximately 529,000 maternal mortality due to pregnancy-related causes annually and almost all (99%) of these maternal deaths occur in developing nations. Aims and Objectives: To study the direct and indirect causes of maternal mortality. Materials and methods: Sixty three women were studied at Department of Obstrectics and Gynecology, Sultania, Zanana Hospital, Gandhi Medical College, Bhopal from April 2008 to March 2009. Age, parity and direct and indirect causes of mortality were recorded. Results: Out of 63 maternal deaths, majority (74.6%) occurred due to direct causes and 25.4% due to indirect cause. Most common direct cause of mortality were Hypertensive disorder of pregnancy (42.85%) followed by hemorrhage (15.87%) and septicemia (12.70%). Most common indirect cause of maternal mortality were severe anemia (37.5%) and complicated malaria (37.5%). Conclusion: Contribution of direct causes was more in the maternal mortality, of which Hypertensive disorder of pregnancy, hemorrhage and septicemia were most common

This study aims to analyze the performance of PT Garuda Indonesia (Persero), Tbk Period of 2011-2017 due to the phenomenon of its stock price decreasing relative to the IPO price. Analysis of this study using the variables Current Ratio (CR), Debt to Equity Ratio (DER), Total Asset Turn Over (TATO), Return On Equity (ROE), Price Earning Ratio (PER), Market Value Added (MVA), and Company Size (Size). Based on the analysis, only the DER and MVA variables have a significant, the other variables have not significant. Where DER has negative effect and MVA has a positive effect on stock prices. R2 value of 0.7436 means 74.36% of the stock price is influenced by CR, DER, TATO, ROE, PER, MVA, and Size, while 25.64% is influenced by other factors. The results of the DER analysis is states that the greater the debt, the higher the risk that the company will bear. The results of MVA analysis is states that investors will be attracted to companies that have good MVA values. To increase stock prices, it is recommended that the GIAA need to reduce debt levels and increase MVA.

Previous attempts have been made to determine the role of maternal serum beta human chorionic gonadotropin (β-hCG) in the pathophysiology of pre-eclampsia. The objective of this study was to determine the correlation between maternal serum free β-hCG and the development of pre-eclampsia as well as to evaluate its utility as a predictive test for pre-eclampsia. This was a prospective cross-sectional study carried out in the antenatal clinic of Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria. A total of 200 pregnant women who fulfilled the inclusion criteria were recruited between 14-20 weeks of gestation. However, only 188 of them were completely followed up till delivery. A pretested questionnaire was used to obtain data of the subjects. Their blood samples were taken under aseptic technique for quantitative free β-hcg estimation using the ELISA technique. The subjects were then followed up till delivery and observed for development of pre-eclampsia. Correlation between serum free β-hCG concentration and blood pressure was studied while a logistic regression was used to determine a prediction model for pre-eclampsia. The result showed that there was statistically significant positive correlation between the maternal serum free β-hCG concentration with the mean systolic blood pressure (r= 0.432, p= 0.000) and mean diastolic blood pressure (r= 0.364, p= 0.000), among women with pre-eclampsia. The logistic regression model was statistically significant (Wald (X2) = 26.13, P= 0.000). Using a Receiver Operating Characteristic Curve (ROC), the sensitivity and specificity of free β-hCG as a diagnostic test in pre-eclampsia was 61.1% and 96.5% respectively with cutoff point of 282.3mIU/ml. The study concluded that elevation of maternal serum free β-hCG in early second trimester is a useful indicator to identify women who are likely to develop pre-eclampsia in the same pregnancy

This study aims to analyze the effect of JKN mobile services on brand image and satisfaction of JKN participants, brand image on satisfaction of JKN participants, and analyze the effect of JKN mobile services through brand image as an intervening variable towards satisfaction of JKN participants. The population in this study were all participants in the Jambi City Branch Health Social Security Organizing Agency which were as many as 563,806 people. The sample size refers to Slovin theory with an e value = 10%, so that a sample of 100 participants was obtained. The collection method uses a survey, followed by a statistical method to test the hypothesis that is by path analysis. The results of this study indicate that JKN mobile services have a positive and significant influence on brand image and satisfaction of JKN participants, as well as brand image has a positive and significant influence on satisfaction of JKN participants. Besides that JKN mobile services through brand image also have an influence on the satisfaction of JKN participants.

Organizational citizenship behaviour (OCB) is a willingness to play an extra role regardless of whether or ungiven a formal award. This study aims to analyze how the influence of employees’ job satisfaction, organizational commitment, employees’ working period, and perceived quality relationship quality on OCB employees in PT KPPN. Formulating effective policies to address issues related to the still low OCB employees at PT KPPN. The independent variables in this study are employees’ job satisfaction, organizational commitment, employees’ working period, and perceived quality relationship quality. The dependent variable of this research is organizational citizenship behaviour (OCB). The subject of this research was 34 employees at PT KPPN. This study uses questionnaires in data gathering, whereas hypothesis testing uses F-test and t-test. The hypothesis analysis concluded that work satisfaction and organizational commitment have significant influence over OCB. These results show that the higher the job satisfaction and organizational commitment of an employee, it will increase the employee's OCB

The study aimed to show effectiveness of teaching Social and National Education subject using the flipped class strategy in improving Academic Achievement Among the fifth primary grade students in both Taibeh and Westieh Brigades in Irbid Governorate, through comparing it to the ordinary method in teaching. The study sample consisted of (50) male students of the fifth primary grade in Kufr Asad Primary School distributed into two sections who were chosen by the intentionally method. The random assigning was used to distribute the study individuals into two groups; the experimental group which consisted of (25) students taught using the flipped class, and the control group which consisted of (25) students taught by the ordinary method. To achieve the study objectives, the researcher prepared three videos for the lessons of the unit of Economic resources in The Hashemite Kingdom of Jordan of the Social and National Education subject for the fifth primary grade based on the flipped class strategy, in addition to an academic achievement test was also prepared. The study results revealed that there were statistically significant differences at the level of (=0.05) between means of the experimental and control groups students’ degrees in the achievement post-test due to the variable of teaching strategy (flipped class) and for experimental group students. The study concluded a set of recommendations, the most important of which are: hold training courses for teachers and supervisors about employing the flipped class strategy in teaching and employment of modern techniques and social media in the educational process.

Objective: This preliminary study aims (1) at validating the use of Acute Physiology and Chronic Health Evaluation II (APACHE II) scoring system in cardiac patients admitted to the intensive cardiac care unit (ICCU) for prediction of the risk for mortality, (2) to evaluate the use of a modified APACHE II (mAPACHE II) with addition of the scores related to urinary levels of oxidative stress parameters in prediction of the risk for mortality. Design: Hospital based prospective study. Setting: Tertiary care hospital in South India. Methods: Cardiac patients (n=100) admitted to the intensive cardiac care unit between the age of 18-77 years were enrolled. APACHE II score was calculated. The predicted mortality was calculated on the basis of this score. Urinary malondialdehyde (MDA) and ceruloplasmin (Cp) levels were analyzed and mAPACHE II was calculated. Results: The mean APACHE score was 11 ± 4.14. The ICCU mortality rate within 24 hours after admission was 8%. The area under the receiver operating curve (ROC) for APACHE II score was found to be 0.8 indicating good discrimination and for mAPACHE II score was 0.7 indicating moderate discrimination. Conclusion: APACHE II scoring system has a good discrimination when applied to cardiac patients. However, mAPACHE II also shows moderate discrimination when applied to these patients.

Background: The aim of this study is to identify the profile of patients being referred for cytogenetic analysis in the medical genetics and oncogenetics unit of FEZ Hassan II University Hospital, to determine the prevalence and type of chromosomal abnormalities in the different groups and to compare the results with those of similar studies done in other countries. Materials and Methods: We examined the analysis of 1,200 cases referred to the medical genetics and oncogenetics unit of FEZ, between September 2009 and June 2014. They were grouped according to the indications of the cytogenetic study. Frequencies of the different numerical and structural abnormalities were calculated. The relative frequency of cases with abnormal karyotypes was also determined in each group. Results and Discussion: 70,4% cases were referred from pediatric department and 54,4% are aged under 5 years old. Cytogenetic testing was essentially requested for Dysmorphism (25,6%), Mental Retardation (16%), Down syndrome (14%), girls’ growth retardation (13,8%) and for recurrent miscarriage (12,6%). Of the 1200 cases studied, 79% had a normal karyotype and 21% had chromosomal abnormalities. The most common chromosomal abnormality was trisomy 21 (11,7%) followed by Turner syndrome (2,1%) and Klinefelter syndrome (1,5%). Conclusion: This study compares the results of cytogenetic analysis of chromosomal abnormalities in the north Moroccan population with other studies and research centers. This comparison will help Moroccan clinicians to determine the priority for requesting a cytogenetic analysis in individual cases.

Objective of The Study: To assess C-peptide levels in Cord Blood of Infants born to Diabetic Mothers (GDM and type 2 DM mothers) and to find it’s correlation with the anthropometric measures of the new born. Materials and Methods: The study sample comprised 40 babies born to GDM mothers and 20 babies born to type 2 DM mothers. Controls consist of 30 babies born to non-diabetic mothers .Instituitional ethics committee approval was obtained. Anthropometric measures of the newborn including gestational age, birth weight, ponderal index, length of the babies and head circumference were measured. 10 ml of Cord blood was collected and cord serum was separated and stored at -200C until further analysis. C-peptide levels in the cord serum was measured by ELISA. Result: Significant increase was observed in the serum C-peptide levels in infants born to GDM and type 2 DM mothers. Birthweight, head circumference and other anthropometric measures were also found to be significantly increased in the infants of diabetic mothers and they showed a strong correlation with C-peptide levels. Conclusion: When the mother has type 2 diabetes / gestational diabetes mellitus (GDM), fetal hyperinsulinemia is common despite treatment of disease. This effect is more pronounced in those women with Type 2 DM. This maternal diabetic environment could be a contributing factor for the infants to develop obesity and abnormal glucose tolerance later in life. Therapeutic targets should be aimed at controlling the fetal hyperinsulinemia of GDM which could prevent the development of diabetes in the future.

Various tension headaches are produce by emotional stress, fatigue, or problems connecting the joints or muscles of the jaw or neck. 1.002 And 1.030 is the ideal specific gravity of urine. Specific gravity outcome over 1.010 can show little dehydration. The upper the quantity, the further dehydrated you possibly will be. The urine indicative reagent band test use for the specific gravity of urine. In this study we concluded that specific gravity of urine is not related to the headache in tension. Because p ≥ 0.1 this is not a significant result.