Background: Presently snakebite has become a serious health problem in India.The actual incidence of mortality and morbidity related to the snakebite are not reported properly. Furthermore, the most neglected part is the long term endocrine dysfunction in survivors of russel viper envenomation. Materials and methods: Forty five survivors of russels viper bite patients were selected for the study according to inclusion and exclusion criteria. Admitted patients were treated accordingly and discharged in stable condition. The hormonal status were analysed and they have been followed up after 3 and 6 months. Results: Significant decrease in serum cortisol and prolactin were observed in survivors of russels viper bite patients particularly in those patients whose mean serum creatinine was more than 1.2 mg/dl and systolic blood pressure is more than 110 mm of Hg and diastolic Blood pressure is more than 70 mm of Hg. Conclusion: Measurement of long term hormonal status like serum cortisol and prolactin can be beneficial in survivors of russel viper bite patients.

Diabetic foot and their complications are considered to be a serious cause of morbidity and mortality in diabetes. The aim of this study was to investigate the clinical characteristics in diabetic foot patients along with glycosylated hemoglobin levels and diabetes duration. We performed a retrospective study from June 2016 to March 2017 on a sample composed of 26 patients with type 2 diabetes mellitus and diabetic foot. Age of patients, duration of diabetes, HbA1c- level and diabetic foot complications data were collected from patient’s medical reports and hospital records. Most of the diabetic foot patients (DFPs) were affected with more than one comorbid complications such as hypertension (76.35%), peripheral neuropathy (57.7%), hyperlipidemia (43.9%), peripheral vascular disease (23.1%), coronary artery disease (19.2%), diabetic nephropathy (19.2%) and diabetic retinopathy (15.4%). It was also seen that all the DFPs had uncontrolled glycosylated hemoglobin (HbA1c) levels (>7.5%) and 73.1% had diabetes >10 years old. Prevalence of hypertension, diabetic peripheral neuropathy and hyperlipidemia were found in higher percentage as compare to other complications in DFPs.

The 21st century civil society aspires to have a resilient alliance with the law enforcement agencies in general and the police in particular. Endeavours of the police to reach out to the people can guarantee security and enhance the concern of the people in policing the society at large. However, the relationship between the police and the people continue to remain strained and distant. The police commissionerates of the capital cities of Bhubaneswar and Guwahati (both in eastern India) have undertaken community policing initiatives to build the trust of the people in law enforcement. A strong bond between the police and the public can ensure the success of the community policing programmes in achieving the desired aim. However, the real ordeal about awareness and participation of the people in the collaborative efforts of the police is less than satisfactory. The present empirical study compares the perception of the people about the nature of police-public relationship in these two cities of Eastern India.

The study aimed to identify the effectiveness of electronic concept maps in improving speaking skills in Arabic Language among the third primary grade female students in both Taibeh and Westieh Brigades in Irbid Governorate. The study used the quasi-experimental approach and applied to a sample of the third primary grade female students in Maymona bint Alharith Primary School in Qumaim town in Irbid Governorate reached out (38) female students, who were randomly distributed into both control and experimental groups of (19) female students in each group. The control group was (taught by the ordinary book method), and the experimental group was (taught using electronic concept maps). In order to achieve the objectives of the study, the researcher prepared an observation card to measure the speaking skills which reached out (12) skills distributed on (3) main aspects, and were applied before and after on both groups. By using the appropriate statistical methods, the results of the study showed a statistically significant difference at the level (α ≤0.05) between the means of the experimental group female students’ grades and the control group female students’ grades in the post-application of the observation card of speaking skills for the experimental group female students. The results recommended that the need for Arabic Language teachers to pay attention in improving Arabic Language speaking skills among the first three primary grades female students by using effective teaching strategies.

In this article the author focuses on the one of the primary research problems in the case of European systems of criminal procedure law (the shape of the mutual relations between preparatory and court proceedings, and in strict terms, the system of relations between groups of procedural facts that make up the indicated phases (stages) within the course of the proceeding). Bearing in mind the fact that the clarification of the relevant facts of the case is the prism of the general aim of criminal procedure and what goes with it, the settle criminal liability, Author shows relations between preparatory and court proceedings as a chain of functionally interconnected procedural facts. This article shows also the views expressed by the Authors of different systems of law, like: polish, german and French about the shape of the mutual relations between preparatory and court proceedings. The author also shows his own views within the scope of its subject.

Overall performance in written English in Kenya Certificate of Secondary Education (KCSE) examination has been fluctuating below 50% between 1998 to 2012. Empirical evidence shows that mastery learning (ML) pedagogy is more effective than traditional pedagogy (TP) in instruction. Thus the effect of ML pedagogy on achievement in writing in English, in Nyandarua County was examined. This was achieved by comparing the effects of ML pedagogy on achievement to those of TP. The target population was all the Form One students in the location. Form ones were chosen to exercise control on the TP of their secondary schools to which they were not habituated, being new in the secondary level of education. The target population was a total of 5,779 students consisting of 2,702 girls and 3,077 boys. The stratified sampling technique was used, to ensure that all subgroups of the population were represented. In this way, a sample of 989 subjects was drawn, including 430 girls and 559 boys. This study used quasi – experimental research employing Solomon Three – Group Design. A Composition Achievement Test (COMPAT) and a ML pedagogy module for teachers were used for data collection. These instruments were developed by the researcher. Pilot testing with respect to the COMPAT was done for reliability of the instrument. Pilot testing yielded .9 Cronbach`s alpha with respect to reliability. Content and construct validity were ensured through systematic construction of the research instruments. Validity of the instruments was further established by five Egerton University test experts. Data was analysed using the Statistical Package for Social Sciences (SPSS) version 17.0 for Windows. One way ANOVA, Scheffe post hoc test and the t-test were the inferential statistics that were used. All levels of significance were fixed at = .05 level. The bases on which comparison was made included undifferentiated wholesale grouping. The null hypothesis was not accepted. The students taught English composition through ML pedagogy had a COMPAT achievement that was statistically significantly higher than that of the students taught through TP throughout the investigation. This study has findings that indicate possible benefits for secondary school teachers of English and their students, the research community, curriculum development institutes and university departments of English language education. The main recommendation put forth was that ML pedagogy should be used in the teaching of English language composition writing in Kenya

Corruption is a serious problem that could endanger the social development of both economic and political, as well as damage the values of democracy and morality because sooner or later this act of seeming to be a culture. Corruption is a threat to the ambitions towards a just and prosperous society. The problem of corruption is not a new problem in matters of law and economics for a country because of the problem of corruption has existed for thousands of years in both the developed and developing countries including in Indonesia. Corruption has crawled and slipped in various forms or mode of operation thus undermining state finances, the state's economy and detriment of public interest. Corruption is a misappropriation or embezzlement of money of a State or a corporation or otherwise for personal or other interests. While the world International understanding of corruption by Black's Law Dictionary means that an act is undertaken with a view to gain some advantage which is contrary to official duties and other truths. In Law Number 30 the Year 2014 differentiated two concepts, namely authority and authorization. Authority is the right owned by the Agency and/or Government Officials or other state organizers to make decisions and/or actions in the administration of government. While authorization is the power of the Agency and/or Government Officials or other state organizers to act in the realm of public law. Government administration is the product of administrative decisions.

Background: Candida infection today is highly prevalent, especially the increase in carriers of removable dentures and poor oral hygiene society. Aim: To evaluate the role of fluconazole and clotrimazole in treating oral candidiasis patients. Methods: Two hundred subjects suffering from oral candidiasis formed the study population. Microbiological culture confirmed the diagnosis of oral candidiasis. Study subjects were divided into Group A - subjects who were under treatment with fluconazole therapy, Group B - subjects who were on clotrimazole therapy. Follow up of the study subjects was done after 2 weeks of continuation of the treatment. Results: Among group A subjects, before starting the treatment, 164 (82%) of the them had moderate severity of clinical symptoms, whereas in group B, 148 (74%) of the subjects had moderate severity of symptoms. After the treatment, most 190 (95%) of the them were devoid of any symptom in group A, whereas such proportion was 172 (86%) in group B. In group A subjects, before and after the treatment, the colony count was 1376.4 and 10.8, respectively, whereas in the group II patients, the mean colony count was 854.1 and 23.3, respectively. Conclusion: Both fluconazole and clotrimazole were approximately equally effective while treating subjects having oral candidiasis.

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.

Purpose: Uncontrolled clinical trial aims to evaluate clinical and radiographic healing after repairing mechanical furcal perforations that occurring during pulpotomy in primary molars by using MTA (Mineral Trioxide Aggregate). Materials and Methods: 34 primary molars in 32 healthy children aged 5-10 years old were treated after occurring of mechanical furcal perforations during pulpotomy by using MTA. Mediate and immediate treatment had been performed after clinical and/or radiographic diagnosis of the perforation, and then teeth had been followed clinically at 1st week 3rd, 6th, 9th, and 12th month and radiographically at 6th and 12th month after perforation repair. Statistical analyses were done at p-value = 0.05 and confidence interval CI 95%. Results: All teeth were successful at the first week. Overall success rate recorded 79.3%, and CI of success was 65% to 93%, 5 teeth had been extracted because of totally failure. There was no significant statistically difference between totally success rates according to gender, tooth position, tooth type, previous sub-base of ZOE, pre-used of Formocresol (p-value > 0.05). Conclusions: Iatrogenic furcal perforated primary molars can be treated by using MTA successfully. Mediate treatment and pre used of FC may have unfavorable prognosis of repairing perforations.

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

Background: Individuals should spend at least 2 minutes brushing their teeth with an effective technique at least twice a day, However, most estimates of actual brushing time vary between just over 30 seconds to 60 seconds. Aim: To study the relationship between time of manual tooth-brushing and plaque removal. Methods: Turesky index was used in this study group to assess the plaques. Brushing times were assigned over a 3 week period and brushing times assigned were 30, 45, 60, 120 and 180 seconds. Dental plaque before and after brushing were evaluated and recorded. Results: Changes in Turesky index score for 30 seconds brushing from pre brushing to post brushing were 3.276 ± 0.064 to 2.628 ± 0.175. For 45 seconds brushing time, pre brushing and post brushing scores were 3.262 ± 0.036 and 2.648 ± 0.151. Turesky index score for 60 seconds changed from 3.287 ± 0.065 to 2.562 ± 0.114. for 3 minutes brushing, pre brushing and post brushing scores were 3.064 ± 0.071 and 2.657 ± 0.143. Conclusion: Oral health education towards educating the patients about the duration of brushing time required for plaque removal.

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

Vascular Endothelial Growth Factor (VEGF) is closely related to tumour progression and prognosis. This study aims to evaluate the pattern and clinical implication of VEGF expression in benign and malignant neoplasms and to determine the effect of surgery on serum level of VEGF. Cases were drawn from among histologically confirmed orofacial tumours, while controls were from consecutive, ambulatory dental patients at the University of Benin Teaching Hospital. Blood samples taken from cases and controls, preoperatively and at one -month post-surgery, were allowed to clot and the serum aliquots stored at -600C till analyses. Serum VEGF was analysed using Sandwich ELISA and mean levels as well as median were measured. Spearman correlation was estimated, t-test measured significance (at p ≤ 0.05). Eighty-one subjects were studied (55 cases and 26 controls). Preoperatively, there were significantly different serum levels of VEGF in benign (48.11 ± 25.19 pg/ml) vs. malignant cases (1065.00 ± 412.14 pg/ml), and when compared with controls (45.42 ± 29.83 pg/ml), p <0.001. After definitive surgical intervention, there was a significant reduction in the level of serum VEGF in both benign (45.50 ± 24.71 pg/ml) and malignant cases (51.22 ± 16.84 pg/ml), p <0.001. One-way ANOVA revealed no significant differences between cases and controls post-surgery. There was elevated levels of serum VEGF in benign and malignant orofacial neoplasia. Surgery caused a significant reduction of circulating VEGF to normal levels irrespective of age, gender, previous medical history, perceived duration of the lesion and lymph node involvement.

This study is intended to analyze the performance of Sharia banks in Indonesia through the alleged influential factors, namely efficiency and finance to deposit ratio. This research to analysis (1) Efficiency (BOPO), Finance to Deposit Ratio and Returns on Asset at Sharia Commercial Banks in Indonesia in 2012-2017, (2) Effect of Efficiency (BOPO) and Financing to Deposit Ratios on Return on Asset at Sharia Commercial Banks in Indonesia. This study uses annual financial report data issued by each bank in 2012-2017. The total population in this study was 13 banks, after passing through purposive sampling, the number of samples used was 8 banks. The method used is the descriptive method and a quantitative method with panel data analysis. Based on the results of the research show: (1) Efficiency, Finance to Deposit Ratios and Returns on Asset at Sharia Commercial Banks in Indonesia from year to year which is being updated. (2) Efficiency has negative effect and significantly on Return On Asset while Finance to Deposit Ratio has positive effect and insignificant effect on Return On Assets. Keywords: Efficiency, Financing to Deposit Ratio, Return on Assets, Sharia Banks