In this research the main idea was to investigate the use of social media for sustainable rural mountain tourism. The study was qualitative, and enabled the discovery of the main thematic issues related to the travel process of tourists when using social media for rural mountain region tourism. The study found four types of themes: (1) social media use in the planning stage of the trip, (2) social media use before the trip, (3) social media use during the trip, and (4) social media use after the trip. The results show that tourists use social media at all stages of travel for rural mountain region tourism. At the first stage (planning), tourists mainly use social media to search for information. The results are further applicable to broaden the concept in other activities of tourist or other personals while using social media. Future implications are made and conclusion are drawn for further expansion of the idea.

Background: Dermatological lesions display a wide spectrum of diseases. Although common in the developing countries, they are not considered significant on assumptions of being always non-lethal and insignificant but are sometimes indicators to underlying systemic diseases. Aims and objectives: To observe and analyse the spectrum of dermatological disorders through histopathological examination. Material and Methods: This was a prospective study, carried out at tertiary care centre of Ahmedabad, Gujarat, India. A total of 127 cases including punch and excision biopsies of skin were studied over a period of 1 year and 6 months. Results: Out of the total 127 cases, 56 were males and 71 were females showing a slight female predilection. Skin lesions were divided into six groups of which inflammatory, malignant & benign neoplastic; & infectious skin lesions showed female predilection while spongiotic, psoriasiform and lichenoid skin lesions as well as leprosy and tuberculous skin lesions showed male predilection. Vesicobullous lesions were found to be gender neutral. The overall male to female ratio was found to be 0.8:1. Inflammatory lesions (33%) of skin formed the most common group of skin lesions in this study followed by benign tumours/cysts (27.5%) of skin. Conclusion: Skin lesions show a wide variety of histomorphology and they are sometimes an important manifestation of systemic diseases. Hence, a proper histopathological examination remains the gold standard in diagnosing skin diseases.

The first level health facility is the spearhead of the first level health data collector for the health office in the territory of Indonesia, in supporting the National Information System development strategy. The management information recording and reporting system as a means of supporting the processing of health data in first level health facility will be useful in producing quality information that is used as a basis in making decisions to establish health programs. This research is a descriptive study with a quantitative approach to measure the description of perceptions and implementation constraints faced by users of the management information recording and reporting system. The survey was conducted on 59 respondents by answering questionnaire questions. Based on the results of the study, the perception of the use of the management information recording and reporting system produces a good perception. While based on perceptions of acceptance: officers aged 36-45 years at tambakaji health centers are better than Ngaliyan health centers. Officers with female gender are the least likely to encounter obstacles, while officers with <5 years of work are most vulnerable to problems. The management information recording and reporting system is very supportive in operational activities in first level health facility.

Background: Candida infections are among the most common fungal infection affecting immunocompromised patients in various disciplines of the health care system. In recent decades, due to dramatic increase in invasive fungal infections and related more common use of the antifungal therapy, resistance to antifungal agents has become an issue. Objectives: To determine the prevalence of candida species in various clinical specimen & their resistance to azole group of antifungal agents. Materials & Methods: This study was conducted at tertiary care hospital during January 2014 to June 2015. Total 23,896 samples (urine, blood, high vaginal swabs, oropharyngeal swab, body fluid, corneal scrapping, etc) were received over study period. Result: Out of total 8864 culture positive specimen, candida species were isolated in 644 specimens. Among total 644 Candida isolates, C.albicans is the most prevalent species (44%). Amphotericin B (99.6%) had the maximum rate of susceptibility amongst all the antifungal agents, followed by Voriconazole with 94.8% susceptibility. Fluconazole, Itraconazole & Miconazole were 73.3%, 73.44% & 74.22% susceptible respectively. Conclusion: Azole derivatives represent one of the major groups of antifungal drugs used in clinical practice to treat fungal infections. Empirical usage of Fluconazole in immune-compromised patients appeared to have played a major role in rising emergence of non albicans species resistant to Fluconazole.

The main purpose of this study is to study the basics of Social media and financial services, analyse the role of social media in the promotion of financial services and to determine the perception of people using the social media and financial services about the role of social media in the promotion of financial services. The present research is conclusive, descriptive and based on single cross sectional design. Quantitative data was generated to test the research hypotheses. In order to collect data on various dimensions of the study, a research instrument was used the sample of study is limited to those people who are aware of social media and are familiar with financial services. Respondents were personally contacted and the questionnaire was administered to them. 113 filled questionnaires were received. It has been found that the most of the people prefer financial services which are advertised through social media irrespective of their Gender, Occupation and Monthly income. But their preferences vary according to their age groups. The test shows us that people in the age group of 36-40 highly prefer the financial services which are advertised through social media while the people in above 40 years age group do not prefer them much

Background: Large intestine and anal canal harbors various neoplastic and non-neoplastic lesions. Colorectal carcinoma is one of the leading cause of death. This study was aimed to evaluate and correlate the spectrum of various lesions of large intestine including anal canal in relation to age and sex of the patients and to compare the study done in our institute with other studies. Material and Methods: This one year study was done during the period of January 2018 to December 2018 in a tertiary care center which included 58 cases from large intestine and 16 cases of anal canal. All biopsies and resected specimens were fixed in formalin and stained with H&E and special stains like Periodic Acid Schiff (PAS) and Ziehl Neelsen (ZN) were done in required cases. Results: Out of 58 cases of large intestine 36 cases were non-neoplastic and 22 were neoplastic cases. 16 cases from anal canal were non-neoplastic lesions. Adenocarcinoma was the commonest malignant neoplastic lesion. Most of the cases presented with symptoms like bleeding per rectum, abdominal pain and constipation. Conclusion: The present study observed that non-neoplastic lesions were more common in large intestine and anal canal. There was a higher incidence in male patients. Neoplastic lesions were common in 3rd and 4th decade. Adenocarcinoma was the commonest among neoplastic lesions. This study also emphasizes histopathological evaluation is essential for early diagnosis of the tumors which will increase the survival rates of the patients.

Electrolyte derangement is a common feature in anaemia. This study was undertaken to elucidate the effect(s) of ferrous sulphate on the renal handling of electrolytes. 28 male albino Wistar rats were randomly assigned to four groups of 7 rats each namely: the normal control given distilled water (10ml/kg body weight), ferrous sulphate administered ferrous sulphate (75mg/kg body weight), anaemic control given phenyl hydrazine (40mg/kg body weight) and the anaemic treated group given phenylhydrazine administered (40mg/kg body weight of phenyl hydrazine and 75mg/kg body weight) and ferrous sulphate. Results show that mean Na+ and Cl- levels in the serum (P<0.001) and urine (P<0.01 and P<0.001 respectively) of the anaemic control group was significantly higher than control and ferrous sulphate groups. K+ concentration in the serum of AC was significantly (P<0.001) higher than that of control and FES but significanlty (P<0.05) lower in urine of AC compared with control and FES. The bicarbonate concentration of the serum and urine of AC was significantly (P<0.05 and P<.001 respectively) lower than the FES group only. The levels of Na+, Cl-, K+ and HCO3- in the AFES group were not significantly different from any of the groups. Conclusion: We conclude that ferrous sulfate does not only restore Hb but also kidneys ability to handle electrolytes.

The goal of this research is to analyze the factors that affect the rate of loan repayment by SMEs with a case study on SMEs businesses PNPM-MP PPMK built in Palembang, Indonesia. This study used logistic regression analysis techniques using six independent variables are gender, Business Turnover Value, Ceiling Loans, Period Repayments, Loans Frequency, and Installment Credit System. The dependent variable is the rate of repayment that is categorized Current and Delinquent. The results showed that the factors that influence and significantly related to the rate of repayment PPMK loan repayments are a business turnover value, Ceiling credits value, payback periods and installment system.

This was an observational follow-up study conducted in the Department of Obstetrics & Gynecology, Institute of child & mother health, Matuail, Dhaka. From January, 2014 to July, 2014. After getting approval from the authority, we selected our study participants by a purposive sampling technique and maintaining inclusion criteria. Consecutive 100 patients who were admitted in the hospital, were our study participants. The study observed in group I (44%) have normal BMI, in group II (35.2%) have lean BMI, in group III (15.4%) have over weight BMI and group IV (5.5%) have obese BMI. Birth weight <2.5 in group-II. Neonate complications was highest in group –I & group-II. The new born term babies’ outcome status is much higher than preterm babies in all the four groups. APGAR score were <5 in group-II, group-III and in group-IV. Mean birth weight was highest in group-IV, representing 3.76. Mean hospital stay was highest in group-II patients, representing 8 days. Maternal BMI is a potentially modifiable risk factor for adverse outcomes that can occur during pregnancy and the neonatal period

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