Background: Pertussis is a life-threatening type of infection in non-immune infants younger than six months of age. Vaccination of pregnant women with tetanus, diphtheria, and pertussis vaccine (Tdap) may facilitate the transfer of maternal antibodies to the fetus, this method may provide protection against pertussis in these newborns. This study will examine the seroprevelance of Bortedella pertussis antibodies in pregnant Saudi females. Methods: This is a crosssectional study in which 258 pregnant females of different age groups in the second and third trimesters who underwent antenatal checkups at King Saud University Medical city, Riyadh, between April 2017 and March 2018 were enrolled. Serum levels of B. pertussis antibody were measured using the enzyme-linked immunosorbent assay (ELISA) technique. Results: From 258 blood samples,234(90.69%) females between 28 and 45 years of age were non immune to pertussis,12(4.6%) showed borderline immunity, and 12(4,6%) were immune. Conclusion: The majority of tested pregnant Saudi females were non-immune to B.Pertussis despite the expanded Saudi program of immunization (which recommends that the last dose of DTap be given to preschool-age children). This study emphasizes the importance of implementation of Tdap vaccination program in pregnant Saudi females.

Antioxidant agents stimulate new bone formation during the process of repair of bone defects. This study aimed to examine the effects of systemic administration of resveratrol, an antioxidant agent, on new bone formation in a rat model of experimentally induced bone defects. The study consisted of four groups. Each group was divided into 2 subgroups on the basis of the date on which the animals were sacrificed. We formed a 5-mm bone defect in the right mandible of the animals in each group. Control group (C) received no further treatment, first experimental group (G) received a bovine bone graft, second experimental group (R) received systemic administration of resveratrol (10 mg/kg), third experimental group (GR) received systemic administration of resveratrol (10 mg/kg) with a bovine bone graft. The results of histopathological examination on the 14th and 28th day showed significant differences in the degree of ossification, fibrosis, angiogenesis, and the density of inflammatory cells between the groups (p < 0.05). Results of biochemical analysis showed significant differences in the serum levels of bone morphogenetic protein-2 (BMP-2) and tumor necrosis factor α (TNF-α) between the groups (p < 0.05). Thus, our results showed that systemic resveratrol administration with graft placement may have positive effects on bone healing in critical-sized bone defects.

In light of faltering sustainability in growth and development in Nigeria, this study evaluates the Micro Finance Banks Sectoral influence on the development of the Nigerian Economy over the period of 1992 to 2017, utilizing secondary data culled from the Central bank of Nigeria Statistical Bulletin and the World Bank. The study employed the use of Stationarity, Multiple Regression, Johansen’s Co-integration and Error Correction estimates. While the Co-integration results indicated significant long run relationship among the study variables, the Multiple Regression and Vector Error Correction estimates both point to Apportioned Microcredit to mining/quarrying, real estate/construction and transport/general commerce sectors as the sectoral microcredit that significantly influence Nigeria’s human development index both in the short and long terms respectively. Only Apportioned Microcredit to the mining/quarrying, real estate/construction and transport/general commerce sectors are valuable in predicting variations in economic development as captured by Human Development Index. In light of the above, it was thus recommended that other sectoral activities should be revamped according to their level of insignificance as more efforts should be devoted to the Agricultural sector, manufacturing sector and other sectors of the economy and there should be incentive to sensitize the populace about microfinancing which would bolster deposit based and help disbursement in the right direction, promotion of economic, political and social stability amongst others

Purpose: To investigate the effect of using mucoperiosteal-bone flap split technique when width of alveolar bone ridge is insufficient. Methods: The width of alveolar bone ridge is 3-5mm. Patients underwent mucoperiosteal-bone flap splitting. A horizontal incision was made at the top of the alveolar ridge, and two vertical incisions at the mesio-distal alveolar bone, and the whole layer of the periosteum was cut through. The cortical bone was cut using an ultrasonic scalpel. As a result, the mucoperiosteal-bone flap was split. Results: The narrow alveolar bone was succeeded to be split. And gingiva was not recessionary, split bone was not necrotic after operation. Conclusion: Mucoperiosteal-bone flap split technique can solve the problem of insufficient bone width.

Background: Diabetes mellitus is a standout amongst the most widely recognized metabolic disarranges that follow by many complications and influence many body systems and organs make them less effective and these incorporate skeletal muscles. Aim: The aim of this study is to evaluate serum creatine kinase activity in Sudanese patients with type1 and type2 diabetes mellitus in Khartoum state. Material and methods: This study was case-control study and conducted during the period from April 2018 to November 2018, 90 participants (30 type1DM, 30 type2 DM as case and 30 controls).The samples was collected by simple random sampling technique through a self-administering questionnaire, Concentration of glucose was measured for each patient with GOD method, and activity of total creatine kinase was determined also CKMB activity was measured for the tow study groups and control group as marker of cardiac functions. The analysis of data done by SPSS version 21 using T-test for comparing mean and simple correlation for correlation of continuous numerical data. Results: There was a significant increase in glucose concentration in compare to control group p-value 0.000 in both type1and type2 diabetic patient compare to control mean±SD type1 (241.9±77.5) type2 (211.3±95.1) control group (111.1±36.4). There was a significant increase in activity of total creatine kinase (CK) enzyme in type1 and type2 diabetic patients in compare to healthy individuals the p-value 0.019 and 0.010 respectively mean±SD type1 (78.0±13.2 IU/L) type2 (71.6±10.0 IU/L) and control group (58.4±23.9 IU/L). There was positive insignificant correlation between the activity of total CK and age in type1 DM patient (R-value= 0.197, P-value= 0.297), but negative insignificant correlation between the activity of total CK and age in type2 DM (R-value= -0.269, P-value= 0.151). Positive insignificant correlation between duration of diabetes and the activity of total CK level in type1 (Rvalue=0.164, P-value=0.386) and type 2 (R-value=0.158, P-value=0.403). Negative significant correlation between glucose and total CK in type1 diabetes mellitus (R-value= -0.410, P-value=0.024) and positive insignificant correlation between glucose and total CK in type2 diabetes mellitus (R-value=0.091, P-value=0.633). Conclusion: The activity of total CK among diabetic patient with type1 and type2 diabetes mellitus was higher when compare to control group, there was also significant correlation between glucose and activity of total CK in type1 diabetes mellitus.

In today's generation, a gadget becomes an indispensable companion that becomes our means in achieving the goal. This study determined the use and effects of social media to the values of tertiary school students, which can be used as a basis for the development of an educational program. A descriptive approach was used wherein the respondents were 80 students of Cagayan State University. A questionnaire was used as a guide which covers the demographic profile, favorite networking sites, effects, and benefits they obtain from using social media. In general, it is found that the benefits and effects of social media are significantly related to the values of young adults. Facebook/Messenger, Twitter, and Instagram are the top three social media sites used by the students. Majority of the student respondents strongly agreed that their day is not complete if they do not open their social media accounts, but overall social media has an excellent effect on the students. In terms of benefits they get from social media, it garnered a 4.252 over-all mean, which implies that most of the respondents obtain excellent benefits from using social media. As to the values of young adults, there is a significant impact on the students, especially in academic purposes and real-life lessons. It is therefore recommended that students should be introduced to sites that can add values to their academic work and research.

Introduction: According to the characteristics of the service industry of the teaching archivists, an index system for the evaluation of the service quality of teaching archivists is established. By using the intuitionistic fuzzy set theory, the subjective evaluation information of the investigated object is converted into the intuitionistic fuzzy numbers. Based on the score function of the intuitionistic fuzzy set, a bidirectional projection-based multiple attribute decision making method with intuitionistic fuzzy numbers is developed. Through the bidirectional projection measure between each alternative decision matrix and the ideal alternative matrix, all the alternatives can be ranked to select the best one. Finally, an illustrative example related about the service quality evaluation of the teaching archivists demonstrates the application of the proposed method.

Self-injurious behavior (SIB) is a broad term, describing behaviour that causes harm to one-self. SIB are more prevalent among individual with intellectual disability. This individual are greater risk for developing both physical and mental health conditions including seizure, anxiety, mood disorder and psychosis etc. Management of people with self-inflicted injury, having Intellectual disability (ID) along with seizure disorder and psychosis is challenging. The purpose of this case report is to review clinical findings in a patient who presented with severe pain abdomen, vomiting, fever, difficulty in micturition and burning micturition. A case report of an 14year old girl of ID (IQ=53%) with seizure disorder and psychosis having self-insertion of bizarre objects through normal bodily orifices is presented. The physical examination findings- febrile, pallor positive and tenderness in left illac fossa. MSE findings- she was uncooperative to examination and exhibited oppositional behavior, disinhibited behaviour.she also display inappropriate smile towards nearby peoples and shows aggression, hostility towards her mother. No hallucinatory behaviour was observed. Radiological findings reveals-radiograph of pelvis AP view shows- linear opacity of metallic density, lying obliquely in lateral aspect of sacrum. USG whole abdomen reveals, foreign body in left illac regions with surrounding inflammation, sigmoid colon oedematous, along with enlarged lymph nodes. Diagnosis of SIB and MR with behavioural abnormalities and seizure disorder was made (ICD-10, F70.1 + G40). OT procedure is carried out to remove foreign body from body.

This paper discusses dominant human afflictions that variously become exigencies for a rhetorical situation in commodifying the spiritual experience by televangelists in Kenya. The commodification of religion is a rarity in contemporary media and communication research in Africa. It can, however, be explored in the context of „mediated spirituality‟, by acknowledging the place of communication technologies such as Television, in the mediation of religious content. This interplay between media and religion has arguably availed opportunities through which religion is commodified by converting some aspects of religion into spiritual commodities through a near capitalistic exchange. The study utilized Kenneth Burke‟s rhetorical theory, which is a plausible instrument for examining a communicator‟s motive in structuring audience perception to influence behaviour aimed at eliciting certain desired responses. The paper argues that charismatic Televangelists use common spiritual, physical and economic afflictive conditions notably; disease, poverty and demonic oppression, to commodify religion through creative message construction to trigger a reciprocate process of material exchange for the spiritual benefit obtained. The paper submits that these charismatic programme creators are not only concerned with edification and spiritual nourishment of their audiences but are substantially motivated by the inherent exchange value of religion through which human afflictions are rhetorically appropriated to provoke reciprocity for the spiritual benefit obtained.

It is stating the obvious that China is having what it deems as a „peaceful rise‟ in the global arena. Many scholars believe that the most important dimension of China's Rise in recent years is in its economic front, and that China's foreign policy trend indicates some economic programs encouraging the country to enter the Middle East. During the recent decade, energy security has been significantly important for China and has become her main priority concerning the Middle East and Iran is one of its leading allies in this regard. This paper examines the role of energy in Iran-China relations. Its main argument is that energy and its secure supply is a determining factor in China's policy for developing relations with Iran. Qualitatively driven and relying on the secondary sources of data, the paper uncovers that because of a lack of internal oil resources, China has adopted a policy of getting energy supply from external resources and for such supplies, Chinese leaders have always had an eye on Iran. It equally discovered that following the sanctions imposed on Iran, China could particularly pay for energy imports from Iran through barter, hence expanding its exports to Iran. The paper concludes that energy security is significant in relations between countries and that it remains at the center of Iran-China ties sanctions notwithstanding.

Knee osteoarthritis is the most frequent type of arthritis and is a main reason of disability. Its occurrence in India is 22% to 39%. In Contemporary medicine, OA is usually treated with Acetaminophen, aspirin and non-steroidal antiinflammatory drugs (NSAIDs) as pain relief medicines. Extreme exploit of NSAIDs can escort to gastric complications. Total knee Arthroplasty (TKA) is extensively employed in the management for end-stage osteoarthritis but Pneumonia is one of the most frequent complications after knee Arthroplasty. It is the main reason of readmission and death subsequent to surgery. In Ayurveda, Osteoarthritis can be linked with sandhigata vata because of its similarity in clinical features. This is a case of knee Osteoarthritis who was suggested Arthroplasty. She was effectively treated with internal medication & some external therapy. Osteoarthritis is usually managed by Ayurveda practitioners but from this case study, it can be concluded that severe osteoarthritis may be managed by Ayurvedic intercession.

Language is an important semiotic system. The nature of interaction is the communication and exchanges of information. Speech act refers to the fact that people use language to do something. Speech act theory originated with the British philosopher John Austin. Researches on speech act start with the study on the functions of language in daily life. Until now so many scholars conduct researches on the daily language based on speech act theory. With the development of mass media, people tend to use Internet more and more frequently. As a result, the Internet becomes an important part in people’s daily life. People use the Internet to learn, to socialize and to have fun. Media discourse is a complex system which consists of diverse categories. Nowadays, WeChat as a kind of mass media is popular. This article will conduct a research on the titles of articles in WeChat based on the speech act theory. Meanwhile, some feasible suggestions on how to write a good title are put forward.

It is assumed that thematic progression (TP) patterns are correlated with genres including narration, exposition, description and argumentation. In order to figure out the distributions of TP patterns in narration and exposition, the present study conducts a comparative study. It adopts four TP patterns: continuous pattern, TP with continuous Theme, TP with continuous Rheme and alternative pattern. Two texts are chosen randomly from New Horizon English Course (Reading and Writing) [1], a textbook for non-English majors in China, as representatives of narrative and expository writings. This paper can be divided into five parts. First, this paper presents the background of this study. Then it introduces the theoretical framework involving thematic structure and different thematic progression patterns. As the main body, the third part focuses on the quantitative comparative analysis of distributions of TP patterns in the two genres. The fourth part is results and discussion and the final part is conclusion. The result shows that though both genres incline to utilize TP with continuous Theme and continuous pattern, narration prefers TP with continuous Rheme while exposition tends to utilize more alternative pattern. This paper testifies the statement that there exist differences between distributions of TP pattern in narrative and expository writing. It also attempts to provide enlightenments for guiding the teachers to help improve students’ reading and writing abilities.

One of the goals of legal development is to provide fair legal certainty and balance reflected in the outcome of the Judge's decision which constitutes a series of proceedings from investigation to socialization. But until now the point is not yet reached. Therefore, in order to understand the context, in this paper, it is conducted by using a socio-legal approach with an empirical juridical approach. In the concept of a lawful state, the principle of equality before of Law which means the equality of position within the law becomes absolute. Internationally the equality of position in law is also governed by international treaties. The equality of position in law should be adopted by all UN members and it must also be balanced between perpetrators, victims and communities. Therefore, the rights of the victims must also be considered and given. That is why the goal of justice is based on the principle of balance that is a national goal in addition to social defence, and social welfare. In the positive law in Indonesia, the rules of protection of the victims have been set, but that is still specific to each rule. Thus, it still requires a further process, not, or yet to be decided in a judicial process. Islam has also arranged how to provide guarantees to victims. However, of course, it must fulfil the requirements in accordance with the provisions in the Qur'an, and the Prophet Muhammad's Hadith. Therefore, it is necessary to have legal constructs in judicial process fairly; following the development of science; until it can understand the method of interpretation; see the specifics of things; the judge must be active by evaluating the social and cultural condition of the perpetrator and the victim with a balanced explanation or balanced treatment between the perpetrator and the victim. For that, it is necessary to reconstruct the law to obtain a clear criminal stelsel rule that can be used as a benchmark for criminal and criminal proceedings. Thus, what is expected can be fulfilled by the criminal process and righteous judgment with orientation on the basis of the balance.

Background: Removal of endodontic infection is quite different from most other sites in the human body. Aim: To investigate the antibacterial property of biodentine and mineral trioxide aggregate cement against Streptococcus and Enterococcus. Methods: Antibacterial activity of Biodentine and mineral trioxide aggregate was evaluated by the agar diffusion method against E. faecalis and S. mutans among sixty patients. The experimental materials included 50 mg Biodentine and 50 mg mineral trioxide aggregate. The diameter of microbial inhibition zones around each well was measured to the closest size in mm with a digital caliper. Results: Biodentine produced 3.02±0.27 mm inhibition zone against Streptococcus mutans and Enterococcus faecalis within 24 hours. This difference between the S. mutans and E. faecalis was not statistically significant. Sililarly Mineral trioxide aggregate produced 2.01±0.22 mm inhibition zone against Streptococcus mutans and Enterococcus faecalis within 24 hours. Conclusion: Biodentine showed us encouraging results against Streptococcus and Enterococcus compared to mineral trioxide aggregate by creating higher inhibition zones.