We report the case of an infective Candida albicans fungal endocarditis occurring in a 68-year-old male patient operated on for valvulopathy and with a pacemaker, with a delay of 06 years between his cardiovascular surgery and the onset of endocarditis. The diagnosis was confirmed by blood culture and echocardiography showing the presence of vegetations, the patient was then put under fluconazole with clinical and transient biological improvement before the worsening of the clinical picture and control echocardiography increase the size of his abscess of the mitral ring, which motivated the decision of a surgical treatment.

This research is an event study that aims to find empirical evidence of the impact of the quick count of the results of the presidential election on the Indonesian capital market. The population of this study are stocks that are consistently listed on the Indonesia Stock Exchange during the study period. The data used is secondary data in the form of a daily sectoral index two days before and two days after the event. Paired Samples t-test is used to test the hypotheses. The results of the Paired Samples t-test show that there are no significant abnormal returns in the period around the date of the event, and in the period between before and after the quick count event the results of the presidential election. The results of the study also prove that there is no abnormal trading frequency in the period around the date of the event, and in the period between before and after the quick count event the results of the presidential election. In general, it can be concluded that there is no impact from the quick count of the results of the presidential election on the Indonesian capital market

Hypertension is a major cause of morbidity and mortality worldwide. Patients’ beliefs and knowledge about hypertension have a strong influence on compliance to treatment and control of the disease. Up to date, there is no previous data on hypertension health beliefs in Bahrain. Therefore, this research was conducted to study patients’ beliefs and explore the association between patients’ characteristics and their beliefs. Aim: To understand Bahraini patients’ beliefs about hypertension in primary health care in Bahrain. Objectives: To explore patients’ beliefs about hypertension in primary health care in Bahrain; to study the association between personal characteristics (demographic, socioeconomic and medical) and patients’ beliefs. Study design: Cross-sectional study. Settings: Data was collected from two primary care health centers in each health region in Kingdom of Bahrain using validated questionnaire. Participants 454 hypertensive adult Bahraini patients ≥18 years, who were attending primary care within 10 days period in February 2018 (1st – 14th February), were recruited. Pregnant women, patients with psychotic disorder or cognitive impairment, and patients who are unable to communicate were excluded. Data was analyzed qualitatively for themes using SPSS version 23.0. Results: Patients’ mean age was 58.2 ± 11.697 years with females constituting 58.4%. Based on the Health Beliefs Model, participants have strong beliefs regarding their susceptibility to the effects of hypertension, seriousness of its complications and the benefits of a proper and healthy management plan. On the other hand, they have weak beliefs in the efficacy of the barriers (i.e. alternative medicine and medication side effects) toward hypertension management. The most variables having the largest influence on patients’ beliefs were duration of having hypertension and existence of other chronic medical problems. Conclusion: The findings suggest that participants were fairly knowledgeable about hypertension. We concluded that patients’ perceptions are an important factor in hypertension care and should be deeply explored

Bank Indonesia made changes to regulations regarding the assessment of bank soundness. The soundness of the bank was initially regulated in Bank Indonesia regulation number 6/10 / PBI / 2004 concerning the bank soundness rating system using the CAMELS method (Capital, Assets, Management, Earning, Liquidity, Sensitivity), then changed to Bank Indonesia regulation number 13/1 / PBI / 2011 concerning the bank soundness rating system using the RGEC method (Risk Profile, Good Corporate Governance, Earnings, and Capital), the regulation contains that banks are required to assess the soundness of banks using a Risk-based Bank Rating approach both individually or on a consolidated basis. This research is a type of evaluative research. Evaluative research is research whose activities collect data or information to be compared with criteria and then draw conclusions. The documents used in this study are the Financial Statements and Annual Reports of PT. Bank Mandiri (persero) Tbk 2014-2017 Period. Independent bank health assessment is based on a rating system for commercial banks, in accordance with Bank Indonesia Regulation No. 13/1 / PBI / 2011, and SE No. 13/24 DPNP on October 25, 2011, based on the bank's health assessment conducted by the RGEC method, it was concluded that the health level of PT. Bank Mandiri (Persero) Tbk from 2014-2017 is Very Healthy (SS)

The breast is the most frequent site of cancer among women in both developed and in developing countries [1]. Breast cancer is the most frequent cause of cancer death in women from less developed countries and second most frequent (after lung cancer) among women in developed countries [1]. It is increasing in incidence in the developing world due to increased life expectancy, increased urbanization and the adoption of western lifestyles [2]. According to the World Health Organization (WHO), “Early detection in order to improve breast cancer outcome and survival remains the cornerstone of breast cancer control” [2]. Breast cancer staging also takes into account cancer's grade; the presence of tumor markers, such as receptors for estrogen, progesterone and HER2; and proliferation factors.Standard screening for new and recurrent breast cancer involves clinical breast exam and breast imaging. Given the recognized differences in breast cancer incidence, subtypes, and prognosis among women , it is important to evaluate potential biomarkers in the landscape of breast cancer subtypes ranging from DCIS to triple-negative breast cancer (TNBC) to determine if a simple blood test can enhance the diagnosis of this disease and knowing about stage of disease, and helping in proper treatment. In this review we tried to discuss role of genetic panels in breast cancer management

The revolving door policy has become a bottleneck for the Hotel Managers. Be it the lower level staff or the top management staff, they leave the organization once they are trained and groomed as per the hotel standards. This crisis leaves the hotel at catch 22 situations. They have no option other than to hire a new staff and train them. “The Bureau of Labor Statistics [1] estimates an annualized employee turnover rate of 73.8% in the hotel and motel industry. This figure is striking consider most HR experts agree a healthy turnover rate should actually be somewhere in the 10-15% range”. Considering the high rate of attrition, training a new staff as per the standard policies becomes a costlier challenge for Hotel Industry. There are various reasons behind turnover i.e. Job dissatisfaction, better career growth/opportunities etc. There are a variety of reasons why an employee would consider quitting his or her job within the hospitality industry. These have been identified and researched significantly in the past 60 years (Brown et al., 2015; Huselid, 1995; Kang et al., 2015; Mobley, 1982; Poulston, 2008; Smith and Watkins, 1978) [2]. Yet, organizations are continually trying to identify areas for improvement regarding turnover as turnover costs can be extremely expensive. In fact, they are sometimes considered the highest cost an organization has to endure (Tracey and Hinkin, 2008; Woods, 2002).

Background: To become a successful practitioner, dental professionals need to understand the theory and practice of marketing strategies. Social media has a lot of potential for marketing dental services in a cost-effective manner to influence the modern dental practice. The purpose of this paper is to study the influence of dental service marketing and the use of social media marketing within the field of dentistry. Materials and method: A probability sampling was done to select three different dental clinics among five major cities across the India where one clinic promoted digital marketing and other two had conventional marketing policy. After selecting the dental clinics a cross sectional study was conducted to assess the relationship between patients outcome in digital and non-digital marketing based clinic. Clinics were then evaluated and compared on the basis of outcome of the patients for six months. One way anova is done to compaire patients inflow of three clinics with post hok Turkish test to evaluate the result. Result: One way anova showed highest patient frequency of patients with the clinic having digital marketing. Clinically significant value came for clinic 1 proving that digital marketing does affect the outcome of the patient in clinics. It was concluded that digital marketing has shown to be of great importance in the dental services market in comparison with conventional advertisement strategies.

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

Background: Socioeconomic status (SES) and geographical proximity form dental care unit has been reported to be associated with lack of concern to dental health. Therefore, the present study was conducted to assess the relationship between SES and geographical factor affecting number of case reporting to the five different dental clinics across India. Materials and Methods: A probability sampling was done to select dental clinic among five major cities across the north India. After selecting the dental clinic a cross sectional study was conducted to assess the relationship between SES and geographical factor affecting number of case reporting to the selected dental clinic of major cities. All the subjects were evaluated and questioned regarding locality from where they arrived, there occupation and annual income to reach to the conclusion of their geographic location from clinic and socioeconomic status. This cross sectional study was carried for a period of six months. After collecting data from all five clinics unpaired t test was done to find out the significance of the study. Results: a total of urban classified patient in five clinics were 2672 whereas low socioeconomic and rural patients were 666. Comparison of mean Urban and Rural OPD frequencies per month over six months in various cities was made on the basis of unpaired t tests. The mean value for different cities between urban and rural population are as follow for Jaipur urban pt. were 43.17 and rural pt. 12.67. For Ahmadabad mean value for urban pt. 87 whereas rural pt. 21.67. For Nagpur and Pune mean value for urban pt. was 95.67 and 101.67 and for urban pt. 27.50 and 23.33. Lastly for Hyderabad mean value for urban pt. was 117.83 and rural pt. 25.83. Unpaired t test for all the five centres showed p value less than 0.001 concluding the difference among the group are highly significant. Conclusion: The dental health care needs are very high both in rural and urban areas in spite of basic facilities available in urban areas. This study demonstrates that the notion of access is a multi-dimensional concept, whose composition varies with location, according to the facility being considered and the health and socio-economic status of the individual concerned. There is an obvious disparity among the rural and urban patients mobilization for dental care needs. Lack of awareness, transport facilities or poor economic condition may provide resistance for rural patients to avail dental care facilities

OBJECTIVE: The study was done to evaluate the efficacy of ormeloxifene in medical management of dysfunctional uetrine bleeding. METHODS: Thirty women in reproductive age group who have completed child bearing, attending the outpatient gynaecology department with complaint of heavy menstrual flow were recruited for the study over a period of one year. Ormeloxifene (60 mg) was given orally twice a week for first 12 weeks and then once a week for up to next 12 weeks. Menstrual blood loss measurement was done using pictorial blood loss assessment chart (PBAC), blood haemoglobin (gm/ dl) levels and endometrial thickness was the main measurements to evaluate the efficacy of therapy. The data obtained was analyzed using the mean and p values of less than 0.05 were accepted as indicating statistical significance. RESULTS: There was a significant reduction in PBAC score from pre-treatment and post-treatment with ormeloxifene (p˂0.001).There was also significant reduction in the endometrial thickness after treatment (p˂0.001).The difference in mean haemoglobin concentration of 2.02 gm/dl between pre-treatment and post-treatment.no major adverse effects were seen in the study. CONCLUSION: The results in this study showed that ormeloxifene, a non-hormonal, non- steriodal agent provides effective and favourable medical management with least side effects, suitable for the treatment of dysfunctional uterine bleeding

Kinetics of biodiesel production from renewable raw material like soybean oil deodoriser distillate (SBODD) and methanol (MeOH) in the presence of biocatalyst Novozyme 40013 (lipase from Candida antarctica) has been studied in the present research investigation along with optimization of reaction parameters like molar ratio of alcohol to SBODD, temperature and catalyst concentration. 5:1 molar ratios of alcohol to SBODD, 600C temperature with 5% concentration of catalyst for 3 hrs of reaction duration are the optimum conditions identified which contributed 93.24% conversion. Pseudo homogeneous kinetic model has been used to fit the experimental data and results have been analysed on the basis of model data. Equilibrium constants (Kobs) have been evaluated through this kinetic model at different temperatures and different molar ratios. By fitting the experimental data, the pre exponential factor and the activation energy of the esterification reaction have been determined also. Kinetic analyses are in good agreement with experimental results.

Despite the growing body of literature focused on open innovation concepts; crowdfunding, a new paradigm, has emerged an under-researched type of innovation. Literature reviews evidenced that though studies on outsourcing and crowdsourcing are published mostly in recent years, 2011-2015, a significant gap remains for crowdfunding innovation often enabled by the web. The paper focuses on a type of crowdfunding which keep the option of financial rewards, philanthropists and non-profit organizations (as crowd) are solving problems which solution seekers anticipate to be empirically provable, but the source of solutions is uncertain and addressing the challenge perceived to be of high-risk. There is a growing appeal to crowdfunding, but little is known about an effective donation/charity based model. Hence, the author proposes a model underpinned by stakeholder and systems theories for Islamic banks for social entrepreneurship development by which crowd fund might be of instrumental in the progression of poverty alleviation, increasing dynamism of Islamic economies, and removing unemployment in Muslim societies. The instrumentality of the proposed model can be examined empirically in future research

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

Learning achievement is the measure of success obtained by the students during the learning process. Success is determined by a variety of interrelated factors, including Learning Motivation, socioeconomic status and intelligence. This study aimed to analyze the influence of Learning Motivation, Socio-Economic Status of Parents and intellectual intelligence on student learning achievement Jatiguwi SDN 3 Sumberpucung Malang. Analyzing between Motivation, Socio-Economic Status of Parents and Intellectual Intelligence the dominant influence on student learning achievement Jatiguwi SDN 3 Sumberpucung Malang. This study included in the category of research explanations. The number of samples in this study were 48 students. Data analysis technique used is multiple linear regression analysis. The analysis showed that Learning Motivation, Socio-Economic Status of Parents and intellectual intelligence simultaneously and partially significant effect on student learning achievement Jatiguwi SDN 3 Sumberpucung Malang. Among Motivation, Socio-Economic Status of Parents and Intellectual Intelligence the dominant influence on student learning achievement Jatiguwi SDN 3 Sumberpucung Malang, intellectual kecerdasaran

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.