Since 2017, the work environment and Occupational Safety and Health have been of particular concern at PT. Hok Tong. Increased resource competency and training is the target of the program. Research on the impact of these two factors is done by using primary data collected with Slovin method through questionnaires from a sample of 198 respondents using random sampling techniques to take samples of members from 380 populations. Hypothesis this study stated those work environments (X1) correlation on employee productivity (Y) at PT. Hok Tong are positive and significant and occupational health safety (X2) correlation on employee productivity (Y) at PT. Hok Tong are positive and significant). But by using data analysis, variable work environment (X1) bring positive and significant influence to employee work productivity (Y) but occupational health safety variable (X2) that has negative and insignificant influence between toward employee work productivity (Y). Overall both working environment and occupational health safety variable simultaneously have a significant influence on employee productivity at PT. Hok Tong

Achatina fulica snails from two environments (natural and breeding) were subjected to two diets, one based on green fodder and the other in the form of flour concentrate, respectively, in order to assess their impacts on the development of gametes. 50 snails were dissected, with 25 from the natural environment and 25 from the breeding environment. Subsequently, the extraction of gonad (ovotestis) was performed on each of the selected animals. After inclusion, histological sections were made to assess the degree of evolution of gonad according to development scales. This allowed us to identify the different stages of sexual development, sexual maturation per size class according to diets.

The variations in the structure and position of the kidney along with variations of renal vessels are reported by anatomists, surgeons and radiologists. Routine human cadaveric dissection showed a bilateral ectopic kidney with accessory renal artery was observed. Malrotation of both kidneys and altered anatomical structures in the hilum were observed. The both kidneys are located above the bifurcation of common lilac arteries. The Accessory renal arteries were arising from the abdominal aorta and supply both the kidneys. The renal veins draining into inferior venacava. Ectopic kidney with rotational variation of accessory renal arteries is comparatively very rare. This may be asymptomatic or present with vague symptoms and sometimes remain unknown during the lifetime. These variations have an embryological basis and are clinically significant. Knowing such variations are important for general surgeons, gynecologists for performing various surgical procedures like laparoscopic surgeries and useful for the nephrologists when dealing with radical nephrectomy and renal transplantations

Spiders are one of the most diverse and ubiquitous group of animals. Despite being one of the most diverse groups of animals existing in India, their study has remained largely neglected. The present research paper provides a preliminary report on spider fauna of Ahmednagar city, M.S. India. Spider specimen were collected from different localities in and around the city during July 2015 to March 2016. Total 25 spider species representing 9 families and 19 genera were recorded. Results obtained shows that the Araneidae is the most represented family with 11 species followed by Salticidae, Oxyopidae and Lycosidae (03 species each) and 01 species each from Hersilidae, Pholcidae, Eresidae, Tetragnathidae and Thomisidae. Araneidae is the most dominant family (44% of species) followed by Salticidae (12% of species), Oxyopidae (12% of species) and Lycosidae (12% of species). A note on medical importance of spiders was also added. The outcome of the present research work will update data on faunal resources of Maharashtra and will be helpful for future researchers working on the spiders of the area. The findings will also be helpful for taxonomic and phylogenetic studies on spiders.

During the past few decades’ endodontic treatment has benefited from the development of new techniques and equipment, which have improved outcome and predictability. Important attributes such as the operating microscope and ultrasonics (US) have found indispensable applications in a number of dental procedures. Ultrasonics in endodontics has enhanced the quality of treatment and represents an important adjunct in the treatment of difficult cases. Since its introduction, Ultrasonics has become increasingly more useful in applications such as gaining access to canal openings, cleaning and shaping, obturation of root canals, removal of intra canal materials and obstructions, and endodontic surgery. Currently, although ultrasonics (US) is used in dentistry for therapeutic and diagnostic applications as well as for cleaning of instruments before sterilization, its main use is for scaling and root planing of teeth and in root canal therapy, both for orthograde and retrograde therapy. This review article brushes up the role of ultrasonics in endodontotlogy.

The seas and oceans form integrated ecosystems giving life to many species and represent food and socio-economic benefits sources for millions of persons around the world. Unfortunately, nowadays these sources suffer from marine pollution which becomes a major problem that has negative effects on all of the planet's marine ecosystems. In the bay of Monastir (center coast of Tunisia), as many parts of the globe, economic development has been most active in this coastal zones, especially textile industry, fishing and aquaculture activities, putting enormous pressures on this coastal ecosystem. In this study, we tried to collect informations about the impact of marine water pollution in the bay of Monastir from sea users (fishermen, professional or not), and we tried to identify the main zones of pollution that may be potential zone for the intervention of protected area managers in the future.

Objectives: The study aimed to evaluate the prevalence and patterns of impacted and transmigrated canine and associated pathologies in a dental population. Methods: The panoramic radiographs of 5531 patients [1820 (32.9%) male and 3711 (67.1%) female] who attended to several dental clinics between August 2018 and January 2019 were retrospectively evaluated. The number, position, impaction and transmigration of canine were noted. An impacted canine was diagnosed to be transmigrated when at least part of its length had crossed the midline. The presence of other coexisting anomalies was also noted. Results: A total of 388 patients (7.0%) presented with at least one impacted tooth. The most common impacted canines were in the maxilla among 368 (94.8%) patients, while 51 (13.1%) patients showed impacted canines in the mandible. About 32 (8.2%) patients showed both co-existed maxillary and mandibular canine impaction, while 126 (32.5%) impacted canines were bilateral either in the maxilla or in the mandible. Transmigrated canine was observed among 26 (6.7%) of impacted canine patients. Impaction of other teeth was found among 173 (44.6%) patients. Certain anomalies were co-existed along with canine impaction in 98 (25.3%) patients. Pericoronal radiolucency was the most common am-ong 84 (21.6%) patients followed by dentigrous cyst among 23 (5.9%) patients. Other anomalies were supernumerary teeth among 5 (1.3%) patients, and odontoms in only 1 (0.3%) patient. Conclusions: The prevalence of impacted teeth was high, and there was a predilection for impacted teeth in the maxilla. Pericoronal radiolucency was commonly seen in relation to the impacted canines followed by dentigrous cyst.

The urine is frequently among the sites colonized hospital and Candiduria still poses problems of interpretation. Indeed, the discovery of yeast in the urine can be the witness of contamination, a simple colonization or the first sign of invasive infection. We report the case of an elderly patient de66ans hospitalized in urology for management of bladder cancer who underwent radical cystoprostatectomy more bilateral lymphadenectomy and entérocystoplastie.Le patient was taken to dropping a point of ileo-ileal anastomosis responsible liquidiennes food and leaks then the patient was transferred to intensive care. During his stay he presented a febrile syndrome, ECBU objectified candiduria Candida albicans. The evolution was marked by the installation of a septic shock, blood culture came back positive for Candida albicans. Fluconazole has been started but the patient is décédé48h after. Candiduria may be a marker of dissemination in patients at risk with a high severity score. She was also associated with candidemia in 1.3 to 10% depending on the study. In subjects in ICU Candiduria could predict Candida invasion and should justify antifungal treatment and a close monitoring for mycological diagnosis precocity and better therapeutic management.

Background: Dentists are often faced with a large fluctuation in patient’s inflow to the clinic due to seasonality. This unpredictability of seasonal variation has high impact on revenue. High seasons bring in significantly more revenue than low seasons; dentists may find that certain months have few new patients and more empty chairs. There has been no study documented to find seasonal variation in patient’s inflow to dental clinic. Purpose of this study was to crack the code of relationship between seasonal variation and patients visit to clinic. Materials and method: cross-sectional study was performed for a period of one year in five major cities. Selection of dental clinic was done by probability sampling and one clinic was from all five cities were selected. Result: Study shows monsoon in India is not fruitful for dental practitioners as it attracts fewer numbers of patients to the clinic following summer season. Conclusion: Dental practices can encounter difficulties keeping the doors open if they do not learn to manage changes in seasonality. Study revealed that there was an obvious decline in no patients flow in months of July to September.

Background: The clinical heterogeneity of Rare bleeding Disorders (RBDs) associated with their rarity is a significant barrier to enhancing their deeper knowledge. Diagnosis, classification and adequate treatment of these disorders has been hampered by the variable clinical presentation and difficulty in recognizing affected patients, difficulty in collecting longitudinal clinical data and limits of laboratory assays. The objective this study is to evaluate the distribution of RBDs amongst inherited bleeding disorders and approach to RBDswith clinical evaluation & lab diagnosis. Materials and methods: This is a Retrospective study of rare bleeding disorders obtained from the cases referred from Karnataka Haemophilia Society to the Haematology section of department of Pathology, JJM Medical College, Davangere from June 2006 to June 2011. Results: Out of the total of 400 patients of inherited bleeding disorders referred, 23 were diagnosed of RBDs which included 11 cases of factor XIII deficiency, 4 of Hypofibrinogenemia, 3 of Afibrinogenemia, one each of factor II,V,VII,XI deficiency. Conclusion: RBDs poses significant social problem in our country. Lab diagnosis of these disorders is complex but basic coagulation set up with high clinical suspicion can take up the challenge of diagnosing these disorders.

Generally, many large tissue defects occur with surgery treatments of tumors in the maxillofacial region. Maxillofacial prosthesis application can be used as an alternative treatment for cases where plastic surgery reconstructions cannot be applied. While the retention of maxillofacial prostheses used to be provided generally via adhesive bands, adhesives in liquid or spray form, and tissue undercuts, the current treatment of an intra-oral edentulous condition is frequently conducted via osseo-integrated implants. The most significant problem facing the reinforcement of the facial implants is inadequate bone thickness. While the most suitable reinforcement points for implant are the temporal region and supraorbital edge, the bone thickness varies between 2.5 and 6mm for those regions. This article reviews the application of implants in different maxillofacial prostheses.

Lupus podocytopathy is a recently described phenomenon characterized by diffuse foot process effacement without peripheral capillary wall immune deposits and glomerular proliferation. It has been described in systemic lupus erythematosus patients with nephrotic syndrome in case reports and a few series. The term of lupus podocytopathy denotes that it as lupus nephritis-related phenomenon, however, the theory of coexisting minimal change disease is also a possibility. Each theory has its own supporting clinical and pathological facts. This literature review is made for a comprehensive analysis of the available clinical circumstances and histological data of the reported cases. Also, it elaborates on the pathological background for both diseases process. The aim of this review is to reach an optimum categorization of this phenomenon.

The aim of this study was to evaluate the practitioner’s fears with respect to patients with special care needs. 150 dental practitioners (aged 22 to 38 years) at a tertiary care dental teaching hospital were included in the study. A specifically designed 10-item schedule was used to access the fear. The results showed that 10 (6.7%) respondents had no fear or hesitation in offering treatment, 74 (49.3%) had hesitation, 62 (41.3%) had specific fears only and 4 (2.7%) had generalized fear. It can be concluded the fear to attend a dental patient with special care needs was quite prevalent and was affected by the dentist’s practice area, clinical experience and teaching/academic experience.

Dyslipidemia is a common finding in patients with thyroid disease, explained by the adverse effects of thyroid hormones in almost all steps of lipid metabolism. Clinical hypothyroidism, through different mechanisms, are associated with lipid alterations, mainly concerning total and LDL cholesterol and less often HDL cholesterol, triglycerides, lipoprotein (a), apolipoprotein A1, and apolipoprotein B. In addition to quantitative, qualitative alterations of lipids have been also reported, including atherogenic and oxidized LDL and HDL particles. In thyroid disease, dyslipidemia coexists with various metabolic abnormalities and induce insulin resistance and oxidative stress via a vice-vicious cycle. The above associations in combination with the thyroid hormone induced hemodynamic alterations, might explain the increased risk of coronary artery disease, cerebral ischemia risk, and angina pectoris in older, and possibly ischemic stroke in younger patients with overt or subclinical hyperthyroidism. This article presents a correlation study between hypothyroidism, Apo B and Apo A. It has been found that the 55 subjects enrolled in this study show a significant correlation between TSH and Apo B.

Background: College students may experience severe sleep problems that negatively impact their health and well-being at certain times. The Partial sleep loss may increase the risk of obesity and weight gain. Aim: To assess the association between sleep quality and BMI in medical college students and to determine whether the students with poor sleep quality are at risk of developing obesity. Materials and Methods: 100 medical college undergraduate students of both the sexes aged between 18 - 25 years of Santhiram Medical College, Nandyal was included in the present study. Sleep quality was assessed by Pittsburg sleep quality index (PSQI) questionnaire. PQSI is a questionnaire based study, which is a standardized, quantitative measure of sleep quality with demonstrated high levels of consistency, reliability & validity. Body mass index (BMI) was calculated as weight (in Kg) divided by height-squared (in m2). The relationship between Body Mass Index (BMI) and sleep quality was analyzed in the present study. Results: Among 100 medical college students; 9 students were underweight, 45 were normal weight, 31 were overweight, and 15 were obese in the present study. The mean PSQI in underweight students was 3.1, normal weight was 3.4, and overweight was 2.67 and obese was 4.9.The mean BMI in students with PSQI<5 was23.04±3.89 and in those with PSQI >5 were 23.80±4.40. Conclusion: There was no association between sleep quality and BMI in the present study. We will extend our study in large sample size and by a different methodology with equal number of participants in each BMI category to determine better outcome in the present study.