Patients with pelvic mass, especially ovarian masses are commonly encountered in gynaecology clinic and this can be either benign or malignant. There is no single method which canaccurately predict ovarian malignancy. Prompt identification of ovarian malignancies and referralto a gynec-oncologist can enhance the patient survival rates. Aim of this descriptive analytical study is to evaluate the Diagnostic accuracy of the Risk of Malignancy Indices (RMI) in discriminating benign and malignant ovarian masses. Patients operated for ovarian masses between January 2017 and December 2017 were included in the study. Data regarding menopausal status, ultrasound findings, serum CA125 level and post op pathology findings were collected and analysed. A score was assigned for ultrasound findings as follows:the presence of multilocular cystic lesions, solid areas, bilateral lesions, ascites and intra-abdominal metastases, scored one point each. A total ultrasound score (U-score) was calculated for each patient. Postmenopausal status was defined as more than one year of amenorrhea, or an age of 50 years or more if the woman had undergone hysterectomy. All other women were considered to be premenopausal. RMI1, RMI 2, RMI 3, RMI 4 were calculated for all patients together with the sensitivity, specificity, positive and negative predictive values of the four methods. RMI 1 = U × M × serum CA125, where a total ultrasound score of 0 gave U = 0, a score of 1 gave U = 1 and a score of > 2 gave U = 3; premenopausal status gave M = 1, postmenopausal M = 3. The serum level of CA125 was multiplied directly into the formula. RMI 2 = U × M × serum CA125, where a total ultrasound score of 0 or 1 gave U = 1 and a score of > 2 gave U = 4;

PAC plays an important role in helping parliament to ensure that the activities and spending of the government is according to the approval given by the parliament. In order for the PAC to be effective in performing their duties, they have to be independent in exercising their roles as a PAC members. The objective of the study is to examine the factors that contribute to the independent of the PAC in Malaysia. A study was conducted using qualitative approach to examine the factors that perceived to be important for the PAC to be independent from the perspective of PAC members and non-PAC members. The study reveals that the PAC need to be free from any form of interference, integrity of the members, non-partisan behaviour and chairman of the PAC from the opposition are the factors perceived to be important in order for the PAC to be independent.

Capital Asset Pricing Model (CAPM) Theory and Arbitrage Pricing Theory (APT) had been known as two theories that most well-known in asset pricing in the capital market until now besides the Fama and French Factor Model Theories. By using monthly data return from Indonesia stock exchange composite index (IDX Composite) and sectoral stock exchange index (IDX Sectoral) for 5 years from 2013-2017 for APT model, it is known that no one of the economic risk factor in the model that could explain the stock return movement in Indonesia’s capital market. By using the same data for the APT model limited for four sectoral stock price index for the same years, however, the CAPM model could explain the stock return movement in Indonesia’s capital market. Accordingly, the business people in Indonesia’s capital market considered more on the stock price than the sistemic risk of the macroeconomic risks.

Introduction: the theoretical basis used in this study is compliance theory. Compliance theory can encourage someone to comply more with applicable regulations, as well as taxpayers who try to fulfill their obligations, namely paying taxes in a timely manner. Tax payments that are made in a timely manner will be beneficial for the taxpayers themselves because they will not be subject to sanctions due to delays in paying taxes and will also be able to assist the state in fulfilling its obligations namely increasing infrastructure development to support public services. Objective of the papers: this study aims to determine: the simultaneous effect of service quality, penalties, and awareness of taxpayers to taxpayer compliance on MSMEs in Jambi City and the partial effect of service quality, penalties and awareness of taxpayers to taxpayer compliance on MSMEs in Jambi City and the dominant variables have an effect to taxpayer compliance on MSMEs in Jambi City. Method: The samples in this study were 90 respondents. Sampling was simple random sampling method. Methods of data collection using the survey questionnaire instrument. Statistical tests in this study using multiple linear regression analysis with a significance level of 5%. Findings: The results showed that both simultaneously and partially all variables, service quality, penalties, and awareness of taxpayer affect taxpayer compliance. Variables that have the greatest influence are service quality. Conclusion: With the influence of service quality, penalties, and awareness of taxpayers to enhancement taxpayer compliance on MSMEs in Jambi City, it is hoped that the Jambi City government can optimize revenue through the tax sector and optimize the growth of MSMEs in Jambi City.

The inflammatory proteins S100A8 and S100A9 form a heterocomplex associated with the prognosis of various cancers. This study aims to examine the association between S100A8 and S100A9 expressions and various pathological variables in primary lung adenocarcinoma (AC). Serial paraffin-embedded tissue sections from 150 patients with lung AC resected at the Shizuoka General Hospital were immunostained and assessed. In patients with invasive lung AC (n = 132), an overlap between S100A8 and S100A9 immunopositivities was observed. S100A8 alone was not reported, but both immunopositivities were associated with high histological grade (P < 0.05), and S100A8 immunopositivity was associated with vessel permeation, poor pT categories, node metastasis, and poor pStage (P < 0.05). In patients with AC in situ (n = 18), only limited S100A9 immunopositivity was observed. The overexpression of S100A8 (S100A8/S100A9 up-regulation) might be a poor prognostic factor in lung AC.

This study was designed to investigate the relationship between teachers’ classroom leadership styles and students’ achievement motivation in Obio-Akpor Local Government Area of Rivers State, Nigeria. Three research questions which were transformed into three hypotheses guided the study. The study adopted a correlational design. From SS II student population from 14 public senior secondary schools, 400 students were randomly selected and presented with two research questionnaires titled, “Teachers’ Classroom Leadership Style Questionnaire” (TCLSQ) and “Achievement Motivation Inventory” (AMI) adopted from Muthee and Thomas (2009). The TCLSQ and AMI had reliability coefficients of 0.83 and 0.86 respectively. Relevant data collected were analyzed with Pearson Product Moment Correlation Statistics. The results of the findings showed that, there was a positive and moderate relationship between autocratic leadership style and students’ achievement motivation, which was statistically significant. In addition, there was a positive but low relationship between teachers’ classroom leadership style of laissez-faire and students’ achievement motivation, which was however, also statistically significant. Finally, it was also found out that, there was a significant but positive and moderate relationship between teachers’ classroom democratic leadership style and students’ achievement motivation. Based on these findings, it was recommended among others that, teachers adopt leadership styles that will bring about optimal achievement motivation among students.

This study is analyzing about the issue of blood to various department and find out the major cause for need of blood. For that the issue of blood to various departments in Govt Sivagangai medical college in the year 2018 was collected and analysed. We found that more than 50% of our issue was to CEmON Centre (Comprehensive Emergency Obstetrics and Neonatal care). Among that the blood was mainly used for the correction of anaemia in antenatal and post-natal mothers. So correction of anaemia in early antenatal period by proper protocols will decrease the burden

This before-and-after type of educational intervention study was conducted in a municipal medical college in Maharashtra, India. The participants (60 first-year MBBS students, aged 18 years and above, of either gender) were briefed about peer-assisted learning. After a faculty-delivered conventional lecture, a pre-test was administered. The same topic was taught to the same batch by a trained peer teacher in the presence of faculty members. Subsequently, a post-test was administered. The questions in the post-test were identical to that in the pre-test. The mean marks (out of 60) of students increased from 42.9 +/- 5.98 to 47.16 +/- 5.60, exhibiting significant difference (p<0.00001) in the overall pre-and post-test scores. The mean marks of female students (n=30) were 43.87 +/- 6.46 and 48.07 +/- 5.13, in the preand post-tests, respectively, exhibiting a significant difference (p=0.0053). The mean marks of male students (n=30) also showed significant difference (p= 0.0070) in the pre-test (42.50 +/- 5.84) and post-test (46.57 +/- 5.86). The gender differences in the mean scores were not statistically significant in the pre-test (p=0.3886) and the post-test (p=0.2914). Formal use of peer-assisted learning in institutions would ensure collaborative learning that can be juxtaposed with conventional learning.

The aims of the research are to analyze the effect of Profitability, Cost Efficiency and Assets Growth on Fund Adequacy Ratio of the Employer Pension Fund with Defined Benefit Pension Program. This research is quantitative research the causal approach uses secondary data and panel data regression analysis method. The research results prove that Return on Investment (ROI), Return on Assets (ROA) and Assets Growth have significant effect on the Fund Adequay Ratio of The Employer Pension Fund of Defined Benefit Program, but have not been able to prove that Cost Efficiency influences on the Fund Adequacy Ratio of The Employer Pension Fund of Defined Benefit Pension Program.

This study, using descriptive survey design, investigated basic computer word processing competencies and level of attainment of secondary school science teachers in Delta State Capital Territory, Nigeria. The population of the study was 150 (90 male and 60 female; 110 urban and 40 rural) science teachers from 15 secondary schools in Delta State Capital territory. The sample of the study was 135 (84 male and 51 female; 104 urban and 31 rural) science teachers. Five research questions were posted. A validated and reliable instrument, computer word processing competency attainment level, was used to collect data. Mean statistic, was used to analyze the data. The results revealed that secondary school science teachers in Delta State Capital Territory, irrespective of school location and gender, have high basic computer word processing competency level. Recommendations were given to encourage sustainable high manpower training of science teachers, in basic computer word processing.

Patients with a severe inflammatory bowel disease or who have corticodependance should be treated by thiopurine drugs, azathioprine and 6-mercaptopurine. Although the drugs are usually well tolerated, adverse reactions can occur like bone marrow suppression which is dose-dependent and a delayed side effect requiring regular complete blood count monitoring. We describe a patient with ulcerative colitis who developed azathioprine-induced pancytopenia

Elastic nanocomposite (SBR-Nano carbon black) was combined by the emulsion polymerization strategy. Elastic nanocomposite syntheses have been resolved based on their micro investigation. FTIR and Raman spectra were concentrated to illustrate the structure. The surface morphology of the copolymer gum was inspected by checking scanning electron microscopy and it sets up the change state among crystalline and formless nature. Morphology is also inspected by using transmission electron microscopy. Ozone obstruction was concentrated to explain occasional perceptions of the surface of the examples were made for break commencement. Tests were uncovered for a longer time. Flame obstruction was concentrated on measures the simplicity of termination of a flame and four appraisals are conceivable, contingent on the consuming time and the nearness of flaming drips. SBR-carbon black nanocomposites at 2 phr, 6 phr, 10 phr, and 12 phr wt% nano carbon black stacking indicates fairly enhanced combustibility property than its gum. The present investigation including the emulsion polymerization technique where the environmental performance of elastic nanocomposites is observed to be great.

Myrianthus aboreus is a medicinal plant that is widely distributed in Africa but common in Delta and Edo states of Nigeria. It is applied in folklore remedies in the treatment of some illnesses. This study was done to investigate the antidiabetic potential of the leaf of Myrianthus aboreus and it’s effects on some biochemical parameters of male wistar rats. The rats were divided into four (4) groups of five (5) rats each. Group one (1) which served as non diabetic control received normal saline only. Group 2 served as diabetic control and received normal saline after induction. Group three (3) and group four (4) were diabetic rats treated with 500mg/kg bw and 1000mg/kg bw of the hydromethanolic leaf extract of Myrianthus aboreus respectively, for a period of four (4) weeks. The results obtained showed that the higher dose extract caused a significant decrease in blood glucose level in week 4 of the study.The changes observed in the plasma concentrations of electrolytes, urea and creatinine were not statistically significant. This study showed that, the leaf extract of Myrianthus aboreus demonstrated hypoglycemic effects in alloxan induced diabetic wistar rats

The knowledge of the anatomy of a region becomes very important for doctors of different specialties both in making accurate diagnosis and to give a proper treatment for an individual. Radiologists need to understand the existence of variations in an artery in order to reduce the error in making diagnosis. The ulnar artery is the major artery of the front of forearm and the knowledge of its anatomy and variations in its origin is necessary in all specialties. The study was conducted in Department of Anatomy, Government Stanley Medical College, Chennai and 50 upper limbs comprising from 25 adult human cadavers preserved by embalming with formalin were studied by conventional dissection method. The ulnar artery arises as the terminal branch of brachial artery in significant proportion. The ulnar artery may arise proximal to the elbow or high up in the axilla. 96% of the specimens the ulnar artery arises from the brachial artery as a terminal branch. High origins, the origin of ulnar artery from lower third brachial artery was seen in 2% and from the axillary artery in 2%.

A cancer diagnosis can have a huge impact on most patients, families, and caregivers. Feelings of depression, anxiety, and fear are very common and are normal responses to this life-changing experience. Many things can cause these feelings. Changes in body image can affect self-esteem and confidence. Family and work roles may be altered. People might feel grief at these losses and changes. Physical symptoms such as pain, nausea, or extreme tiredness (fatigue) also seem more likely to cause emotional distress. People might also fear death, suffering, pain, or all the unknown things that lie ahead. Family often has these feelings, too. They may be afraid of losing their loved one. They may also feel angry because someone they love has cancer, frustrated that they “can’t do enough,” or stressed because they have to take on more at home. People with cancer, as well as their friends and family, can feel distress about these things at any time after a cancer diagnosis, even many years after the cancer is treated. As the cancer situation changes, they all must cope with new stressors as well as with the old, and their. Objectives: Assessment of depression, anxiety and distress in patients starting chemotherapy was done to study the level of later complications.