The diagnosis of cancer in Nigeria is perceived as a hopeless situation and is not unusual to expect total mortality of all sufferers. Choriocarcinoma is particularly important because it is nearly completely curable. The aim of this study was to review the socio-demographic characteristics, cost implications and management of choriocarcinoma in a tertiary institution in North-west Nigeria. This was a 5-year retrospective study. Records of the patients diagnosed with choriocarcinoma from 1st January, 2008 to 31st December, 2012 were retrieved and relevant data extracted and analyzed using the SPSS for windows version 20.0. There were 24 cases of choriocarcinoma giving an incidence of 1.5 per 1000 deliveries. The mean age of the patients was 33.21 ± 2.14 years. Recurrent vaginal bleeding (95.2%) was the most common form of presentation. The common predisposing factors were complete mole (47.6%) and abortion (28.6%) while the metastatic sites were the vagina/pelvic structures (42.9%) and lungs (33.3%). Many, (33.3%) signed against medical advice (SAMA) while 61.9% had methotrexate or MAC as first-line treatment. The common complications were disease progression despite treatment (33.3%) and myelosuppression (33.3%). The average cost of treatment was ₦200,000 ($600). The 5-year survival rate was 9.5%. The incidence of choriocarcinoma in this review was low. The cost of treatment was out of reach of most patients hence the need for health insurance coverage of all Nigerians. The use of methotrexate and MAC regimen as first-line chemotherapy appeared to be ineffective as the disease progressed despite treatment. The five-year survival was dismal

Pyogenic granuloma (PG) is a widespread tumor-like growth of the oral cavity. This lesion is generally caused by continual poor oral hygiene and low-grade trauma. Many methods have been proposed to remove these lesions. The using of lasers, one of these methods, is considered a safe and effective technique for the removal of these lesions with many clinical advantages such as hemostasis, no intra-operative bleeding and decreased times of healing and pain. The aim of this report is to evaluate the diode laser treatment of three patients with PG. In this case series three uncommon cases of histopathologically PGs in the mandible are presented with the treatment plan of using diode laser to surgically excise the lesions. The patients reported no pain after the surgery. They were discharged with a prescription of chlorhexidine mouthwash and necessary post-operative instructions. The results of this case series demonstrate successful results in the treatment of diode laser pyogenic granuloma-like gingival lesions. The diode laser can be used as an alternative treatment option for the treatment of intraoral PG lesions that minimizes recurrence and increases postoperative comfort and healing.

Ovarian carcinosarcoma, also called a mesodermal mixed tumor or mixed Mullerian tumor, is a rare ovarian tumor that accounts for less than 2% of ovarian cancers. It is an aggressive tumor that combines a carcinomatous component with a sarcomatous component. Less than 400 cases have been reported in the literature. We report 01 case observed over five years at the department of obstetric and gynecology of the university hospital Hassan II. Ovarian carcinosarcoma has a worse prognosis than ovarian epithelial tumors. Its rarity explains that there is no consensus on its management. There is very little data available. The only prognostic factor found is the initial stage. The surgical management is a determining factor for the survival of the patients, this one must be as complete as possible. The sensitivity to the chemotherapy is lower, is about 20%. The survival at five years is lowered when the compared to epithelial tumors of the ovary

This study aims to analyze the effect of earnings management on firm value with the mechanism of Good Corporate Governance as a moderating variable. The sampling technique used was purposive sampling. The study was conducted on Property and Real Estate Companies listed on the Indonesia Stock Exchange in the period 2012-2017. The analytical method used is multiple regression analysis. The purpose of this study is to find out whether earnings management is able to influence the value of the company with the mechanism of Good Corporate Governance as a moderating variable. The expected results of this study are Profit Management that can influence the Corporate Value which is moderated by the Good Corporate Governance mechanism. The results of this study indicate that Profit Management has no effect on Firm Value. Simultaneously the four mechanisms of Good Corporate Governance, namely the Board of Independent Commissioners, Institutional Ownership, Managerial Ownership, and the Audit Committee have a significant positive effect on Firm Values. But partially only Audit Committees have a significant positive effect on Firm Value. While the variables of the Independent Board of Commissioners, Institutional Ownership, and Managerial Ownership do not affect the Firm Value. Of the four Good Corporate Governance mechanisms, only the Independent Board of Commissioners and Managerial Ownerships is a moderating variable that can weaken the effect of Profit Management on Firm Value.

Ectopic pregnancy is a gynecological emergency that must always be considered in a woman of childbearing age because of her morbidity and mortality. Cornual pregnancies are rare and account for only 2% of the ectopic ones. Their management is poorly codified: the treatment is medical, when possible with methotrexate. The alternative is surgical with a significant risk of haemorrhage that can justify the use of an embolization and sometimes leading to a radical treatment that must be explained beforehand to the patient.

This study aims to analyze the effect of Corporate Social Responsibility disclosure and Good Corporate Governance on the Cost of Equity. The sampling technique used is purposive sampling. The study was conducted on the TOP 100 of Indonesian and Malaysian companies included in the ASEAN CG Scorecard with a 2016-2018 research period. The estimation of the research model used is multiple regression analysis. The purpose of this study is to determine whether disclosure of Corporate Social Responsibility and Goo d Corporate Governance has an effect on the Cost of Equity. This study involved 3 (three) variables consisting of 1 (one) dependent variable, 2 (two) independent variables (independent), and the dependent variable in this study is Cost of Equity. The independent variable in this study are Corporate Social Responsibility and Good Corporate Governance. The results of this research proposal are expected to be able to show that Corporate Social Responsibility does not affect the Cost of Equity while Good Corporate Governance has an effect on the Cost of Equity. Determination coefficient that sees the influence of the independent variables used in the dependent variable research model is 10.8%, while the rest (89.2%) is explained by other variables.

The study examined the role of work-family conflict on two groups of mothers whose ages were between 25 years and 42 years with a mean age of 34.5 years. Both groups of mothers were involved in paid and self-employments in a University sub-urban town, South-South Geo-Political Zone of Nigeria. A survey research design was utilized in which a survey questionnaire was used in selecting 102 mothers. Out of this number, 62 (63. 24%) of these mothers were in self employments, whilst 40 (40. 8%) of them were in paid employments. One research question / research hypothesis was formulated which guided this study and one research instrument namely, work-family conflict a 12-item questionnaire was used as the research instrument [1] with a reliability index of 0.82. The simple mean (x), standard deviation (sd) and a t-test were computed for the two groups of mothers. The independent t-test statistic computed revealed the manifestation of work-family conflict in both groups of respondents (P > 0.05; T = 1.04; DF = 100; SD = 3.805, Mean = 12.895). In order to mitigate the stressful effects of work-family conflict on mothers whether in paid or self-employments, spousal, emotional support and good time management were recommended. The study concluded by asserting that both mothers in paid and self-employments manifested evidence of work-family conflict

Teachers are charged with the responsibility of maintaining discipline in schools but at the same time be cognisant of disciplinary actions that would make school environment unfriendly. Unfriendly school environments impact negatively on students‟ learning. This study investigated actions teachers take against students who get caught up in disciplinary cases involving homosexual activities in school. Bandura‟s social learning theory informed this study and ex-post facto research design was used. Accessible population was approximately 35,000 form four students in public secondary schools within Nakuru County. Participating students were selected through purposive and stratified random sampling and 400 form four students participated in the study. A students‟ questionnaire was used to collect data and the instrument‟s reliability was estimated using Cronbach‟s alpha, a reliability coefficient of 0.763 was obtained. The questionnaire was validated by two experts from school of Education, Laikipia University, Kenya. Data was analysed qualitatively using percentages, frequency counts and graphs with assistance of Statistical Package of Social Sciences (SPSS) version 23 at α=.05. Majority of the students (76.5%) observed that sexual orientation is an issue of concern in their schools and teachers used various strategies to maintain discipline in school as far as inappropriate sex and sexuality behaviours were concerned. The study recommended in-service training of teachers with regard to sex and sexuality education issues encountered in schools as well as strengthening guidance and counselling strategies.

Callicarpa arborea is a shrub or tree (Family: Verbenaceae) that has been well studied for its antioxidant and antiinflammatory effects. Nevertheless, scientific information on Callicarpa arborea regarding the neuropharmacological effect is limited. The present study was performed to investigate the phytochemical nature and neuropharmacological activities of methanol extract of the Callicarpa arborea (MECA). Phytochemical analysis of Callicarpa arborea extract indicated the presence of flavonoids, tannins, steroid, terpenoid, alkaloids and saponins. The neuropharmacological activity was determined by hole cross and open field test using Swiss albino mice as experimental animal at the doses of 200 and 400 mg/kg body weight. The extract showed significant neuropharmacological activity compared to standard drug. Diazepam at the dose of 1 mg/kg body weight was used as a reference drug in all the experiments. We found that MECA produced a significant dose-dependent inhibition of locomotor activity of mice in both hole cross and open field tests (P<0.05). Our exploration suggests that Callicarpa arborea contains sedative bioactive principle(s).

The Indrabasti Marma is a Mamsa Marma and Kalanthara Pranahara Marma. Its location, size and Viddha Lakshana is mentioned in gross. But the detailed explanation of the anatomical structures is not mentioned. This study is undertaken to ascertain and locate the anatomical entity of Indrabasti Marma. The location of the Marma was determined according to the basis of classical description and anatomical structures were identified by dissection of upper and lower limbs in 3 cadavers available in the Department of Rachana Sharir,Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital. In the upper limb, the Radial artery along with associated neurovascular structures and the overlying Superficial Flexor group of muscles of forearm and in the lower limb, the Posterior Tibial artery, Peroneal artery, Tibial Nerve along with superficial group of calf muscles especially Soleus Muscle with its venous Sinuses are structures located at the point of Indrabasti Marma.

This study examined the impact of financial sector reforms on agricultural output in Nigeria. The specific Objectives were to; compare the output of the different agricultural subsectors in the different reform era, compare the contribution of loans to output of the different agricultural subsectors and toanalyze the impact of reforms on farmer’s output. Data for the study were obtained from Central Bank of Nigeria Statistical bulletin, annual report, federal budget allocation report, annual reports. Data obtained were analyzed using both descriptive and inferential statistics. The results showed that agricultural output of the crop sector was consistently higher than that of other agricultural subsectors in virtually all the reform periods; the contribution of loan to output in the livestock and fisheries subsectors were consistently below 12% and 3% respectively all through the financial reform periods; the volume of loan disbursed by bank to agricultural sector and the reforms had a significant impact on farmers’ output.

Targeting the discourse of domination that rests on the binary opposites of power relations, ecofeminism addresses the destructive patriarchal practices. This movement brings into light the striking analogy that exists between such practices against women and against nature. The discourse is often translated in terms of manipulation, abuse, mistreatment, and subjugation with all the suppression and oppression that these practices entail. Hawthorne’s “Rappaccini’s Daughter” pleads an ecofeminist approach in terms of three aspects. First, it represents the two parties addressed in ecofeminist movements: on one hand there is the patriarchal oppressor embodied in Rappaccini and the two other male figures in the story, and, on the other hand, there is the oppressed, namely Beatrice and the garden. Secondly, it strikes a characteristic affinity between the maltreated female and the abused garden. Thirdly, it delineates the power relations represented as dichotomous binary opposites that each of the afore mentioned parties respectively represents.

Objectives: To highlight spectrum of findings on Magnetic Resonance Cholangiopancreatography (MRCP) in patients with acute cholecystitis. To determine length of hospital stay in operated cases. Method: This retrospective observational study was conducted in Radiology department at our hospital in Dhahran, from August 2016-2018. All patients who presented with acute cholecystitis, obstructive liver pattern or deranged liver tests, and underwent MRCP (on a 1.5 Tesla scanner) were evaluated. Patients with chronic cholecystitis, previous hepatobiliary surgery, pregnant patients and those contraindicated to MRI were excluded. Patterns of MRCP findings were categorized as: (i) acute cholecystitis with normal CBD, (ii) acute cholecystitis with dilated CBD and cause identifiable, (iii) acute cholecystitis with dilated CBD and cause not identifiable. Any associated biliary ductal variants or anomalies (e.g., pancreas divisum, choledochal cyst, low insertion of CBD) were also documented. Operated cases were followed to determine length of hospital stay after open or laparoscopic procedures. Chi-square and t-test were used to determine association. Results: Of the 104 patients, majority (60%) were females. The mean age was 43 years. Two-thirds of patients were having normal CBDs (68.3%), while nearly one-third (31.7%) had dilated CBDs, and half of these (16.4%) showed an identifiable cause of obstruction. Thirteen patients (12.5%) had associated anomalies. The length of hospital stay was seen significantly less in laparoscopic than with open cholecystectomies (p=.0005). Conclusion: Magnetic resonance cholangiopancreatography is helpful to identify causes and anomalies in patients with acute cholecystitis patients having deranged or obstructive liver function.

This research attend to examine the role of Corporate Governance (CG) to preparation integrated reporting. Corporate Governance as one of the main factors to determine the success of implementing integrated reporting which one of its proxies like audit committee is believed to influence the scope of integrated reporting. This study is intended to follow up the suggestions from previous researchers (Beedard & Gendron, 2010; Li, Mangena, & Pike, 2012; Lisic, 2015; A. Setiawan, 2016; Chariri and Juniarti, 2017) who recommended the use of complete CG proxies look like; institutional ownership, independent commissioners and audit committees to obtain empirical evidence that effect the greatest contribution to the readiness of integrated reporting in Indonesia’s State-Owned Enterprises/SOEs. Data collection techniques were carried out by purposive sampling method with certain criteria by using multiple regression analysis SPSS Version 22. This result shows that only 11.7% of Element Integrated Reporting on SOEs in IDX (Indonesia Stock Exchange) within 2012-2017 can be explained by independent variables (Corporate Governance). While the remaining 88.3% is explained by other reasons outside the model.

This study examined the impact of derivative instruments on risk management in the Nigerian banking sector, between 2014 and 2018. Ordinary least squares (OLS) model was employed to analyze data and draw inference; data used were elicited from Central Bank of Nigeria Statistical Bulletin of 2018 and Nigerian Stock Exchange Statistical Bulletin of 2018. The study employed foreign exchange derivative as proxy for derivative instruments (independent variable), while exchange rate was employed as a measure of risk management in the Nigerian banking sector (dependent variable). The inferential result suggested that financial derivative impacted positively and significantly on risk management in the Nigerian banking sector.