Annex torsion is a true surgical emergency, it is a rare pathology, secondary to the total or partial rotation of the appendix around its vascular axis, which can lead to hemorrhagic necrosis of the ovary. Its frequency is estimated at 1/5 000 pregnancies. It can occur during the entire pregnancy, although the increase in the size of the uterus in the 2nd-3rd trimester reduces the mobility of the appendix. Its clinical signs are usually acute and sudden pain, nausea and vomiting secondary to peritoneal irritation and the existence of an adnexal mass. Ultrasound is the paraclinical reference examination, it allows to visualize an annexial pathology that can be at the origin of the torsion and look for the indirect signs of ischemia. The treatment of appendix torsions during pregnancy can be done by laparoscopy, while respecting the safety instructions in relation to the pregnant uterus, laparotomy remains the most evaluated surgical technique. The treatment must be conservative if the recovery of the appendage after untwisting allows it. Only an ipsilateral recurrence can make discuss prevention by an annexed pexy

Introduction: Both tobacco smoking and tuberculosis are major global public health problems. Tobacco smoking has been linked as a risk factor for TB. This study was aimed to find the association between smoking and pulmonary TB. Materials and methods: Pulmonary TB patients aged between 17 and 85 years were enrolled over a period of 9 months. All patients had two consecutive sputum smears examined for the presence of acid –fast bacilli (AFB) using Fluorescence Microscopy technique at the initiation of treatment and repeated as per recommendations of the RNCTP. Response was determined in terms of sputum conversion at the end of intensive phase and final treatment outcomes. Results: Out of total of 124 current smokers, a very high number of patients 83(66.7%)were found to have a high load of TB bacilli(3+), these smokers with sputum 3+ grade showed less response to TB drug treatment. Out of 83 patients, only 15 patients (18.7%) showed smear conversion at the end of intensive treatment. 45 patients who had cavitary disease , 30 (66%)patients had cleared at the end of IP and 15 patients showed persistence of cavitation in smokers while 76% of non smokers showed clearance of cavity(P<0.05). Cure rate among smokers, ex smokers and non smokers were 52.5%, 78% and 84%, respectively. Conclusion: Smokers during initial presentation, as well as at end of the treatment indicate more radiological findings, cavitary disease, and worse sputum AFB smear grading. Smokers also had a poorer outcome in terms of treatment success rate as compared to non smokers. This was largely due to high percentage of default rate among smokers implying treatment adherence issues among smokers as a main confounder to treatment success. Focus needs to be made to reduce defaulters which are more common among smokers

This study to analyze the influence of job satisfaction and indirect compensation to turnover intention of employees. The independent variable in this study is the Job Satisfaction (X1) and Indirect Compensation (X2) with the dependent variable is Turnover Intention (Y). Data collection techniques in this study are use proportionate sampling. Distributing questionnaires to all of employees PT Sinar Mitra Sepadan Finance on cover area South Sumatera I. Data analysis techniques used in this study is a multiple linear regression, F- test, t- test. The results of a test of R square determination (R2) of the job satisfaction and indirect compensation would explain the variable performance of employees amounted to 30,5% whereas 69,5% is explained by other variables. Test results from t to each variable, obtained results significant influential job satisfaction against variable turnover intention of PT Sinar Mitra Sepadan Finance and significant influential indirect compensation against variable turnover intention of PT Sinar Mitra Sepadan Finance. Test results from the F showed simultaneously job satisfaction and indirect compensation significantly to variable turnover intention of PT Sinar Mitra Sepadan Finance. Job satisfaction was the dominant influence variables to variable turnover intention of PT Sinar Mitra Sepadan Finance with -0.375 of the β value

PCR technique was used for the detection of S. typhi and compared to conventional culture results to identify S. typhi and determine the relative sensitivity and specificity of these methods. From 254 blood specimens were collected from typhoid fever patients ,207(84.48%) isolated bacteria were obtained and isolated from three groups of patients, group Ι was positive of PCR and blood culture, group ΙΙ was positive of blood culture but it was negative of PCR, and group ΙΙΙ was positive for intracellular bacteria isolatingو methods when it’s negative for blood culture and then compared result with typical Salmonella enterica serovar typhi strain taken from central health laboratory However, 203 (94.4%) isolates were observed positive to nested PCR and 168 (78.1%) was observed positivity by bacteriological and serological methods to identify of isolated bacteria from typhoid patients’ blood. When the more specific tests were evaluated in the diagnosis and identify of isolated bacteria that were positive by any of the two tests employed (n = 207), the nested PCR resulted in a relative sensitivity of 98.06% and specificity of 100% when compared with bacteriological and serological methods.

With the intention of selecting plants for use as a fungicide, a study was conducted on the invitro activity of 10 medicinal plants in the Kisangani area. The activity of 3 types of extracts (concentrated crude, ethanolic and ethereal) was tested on 3 phytopathogenic strains (Alternaria alternata, Alternaria solani and Fusarium sp.). The method of inhibition of mycelial growth on solid medium (PDA) in Petri dishes was used to study the activity of extracts of medicinal plants towards strains. 9 plants showed satisfactory activity for at least one type of extract on at least one of the fungal strains. However, the statistical evaluation concluded a lack of significant difference between the different extracts, and highly significant differences between different plants. Alchornea cordifolia is the only plant that has shown no efficacy on all fungal strains tested.

Plastic synthetic is widely used in various purposes, ranging from household to industrial purposes. However, in spite of its superior, conventional plastic has several weaknesses, which the plastic waste can pollute the environment. It is important reason for replacing the use of conventional plastic with degradable plastics. Biodegradable plastic is a plastic that can be decomposed naturally by bacteria. The biodegradable plastic can be made from agricultural products such as cellulose and starch. Biodegradable plastic in this report was made from starch of purple taro tuber (Xanthosoma sagittifolium) and chitosan. The materials was perform using variables i.e. temperature, times and ratio of chitosan and starch. The mechanical and physical properties of biodegradable plastic were investigated by tensile strength testing, plastic degradation test by soaking in EM4 (Effective Microorganism) solution, and Fourier Transform Infra-Red (FTIR) was used to identify the chemical structure in biodegradable plastics. The specimens of the research were made by using starch of purple taro tuber with a weight of 10 g, 100 ml of 0.5% acetic acid, 2.5 ml of glycerin, a ratio of starch and chitosan of 0.075, with a temperature of 80 ºC, stirring speed of 300 rpm and a processing time of 75 minute. The result of the research showed a tensile strength of 2.32 MPa with elongation of 44.62%. The biodegradable plastic from the starch of purple taro tuber and chitosan can be degraded with the of EM4 solution until of 35 days. The investigated by using FTIR showed chemical structures of OH phenolic alcohols, C=O carbonyls, and CO esters, that can be easy decomposed. Thus, the plastic from the starch of purple taro tuber is environmentally friendly plastic.

The study investigated the relationship between achievement motivation, study habit and educational career of secondary school students in Rivers State, Nigeria. Four research questions and four corresponding null hypotheses guided the study. Correlational research design was adopted for the study. The population for the study consists of 18,240 SSII students in all senior public secondary schools in Rivers State. A sample of 1,200 SSII students was drawn through multistage sampling procedure using cluster and simple random sampling techniques. Three instruments titled “Achievement Motivation Scale” (AMS), “Study Habit Scale” (SHS) and Educational Career Scale” (ECS) were used for data collection. Face and Content validities of the instruments were ensured. The Cronbach Alpha reliability coefficients of (AMS), (SHS) and (ECS) were computed to be 0.79, 0.81 and 0.77 respectively. The data collected were analyzed using Pearson Product Moment Correlation for the research questions while probability values were used to test their corresponding hypotheses at 0.05 alpha level of significance. It was found that there is significant positive high relationship between achievement motivation, concentration during study, time management, organization of study task and educational career of secondary school students in Rivers State independently taken. It was recommended among others that; parents and guardians should always provide enough study materials such as textbooks and computers, that will enhance the study habit of their children/wards positively.

Smoking is one of the major cause of preventable morbidity and mortality in both developed and also in developing countries. Tobacco contains over 4000 chemical compounds and at least 400 toxins of which 60 are carcinogenic and its use is linked to over 25 diseases. The main cause of death related to smoking are atherosclerosis and cancer. Clinical observations in some areas shows that over 60% of heart diseases under 40 years of age are due to cigarette smoking. Regular smoking of any number of cigarettes is one of the important common risk factor for the development of myocardial infarction. The study is to see changes in ECG in smokers compared to nonsmokers. The study was conducted in young individuals of age between 18yrs to 25yrs .The individuals who does not smoke were selected as control and individuals who smoke are selected, ECG was recorded in control and smokers. Short term smoking of duration 02 to 05yrs produce significant cardiac electrical activity predisposing to cardiac risk. Study results showed that smokers are prone to cardiovascular risk. So in earlier stage abstinence from smoking can revert back the cardiovascular changes to nearly normal or in more severe cases to recovery with little residual damage to the heart.

Background: Chronic rhinosinusitis (CRS) is inflammation of the nasal cavity, and paranasal sinuses (PNS) persists for over three months. CRS can be differentiated into CRS with nasal polyps (CRSwNP) or without (CRSsNP). Aim: to determine the allergic cause of sinonasal polyps using the radiological findings of multi-slice Non-contrast computed tomography of the paranasal sinuses (NCCT-PNS) and histopathology results. Materials and Methods: A total of 41 patients with sinonasal polyps were involved in this study. Multislice NCCT-PNS for each patient was taken in coronal sections. Radiological diagnoses were made. Surgical samples were taken after Functional endoscopic sinus surgery (FESS). Histopathological results were collected. Comparison between the NCCT-PNS and histopathology results was made. Statistical analysis was done using the SPSS program. Results: Out of 41 patients involved in this study, 14 males and 27 females. The mean age was 37.4146 ± 16.65. Polyps predominantly were affecting the nose and paranasal sinuses together (p<0.001). Polyps were predominantly bilateral (p<0.001). Sinonasal polyposis was the most commonly diagnosed (58.5%) on CT (p<0.001). Allergic polyps were the most common type of polyps (p=0.003). No significant relationship between gender and allergic or non-allergic causes of polyps (p=0.32, OR= 1.7, 95% CI 0.460-6.280). No significant relationship between gender and specific cause of polyps (p=0.779) except in fungal cause that is more in female. Conclusion: Allergic polyps are the most common type in chronic rhinosinusitis with nasal polyps (CRSwNP). CRSwNP affects female twice as male. Most cases of CRSwNP are bilateral and involve the nose and paranasal sinuses

Meditation produces various effects on human physiology, which are mediated via autonomic nervous system. Meditation is a simple and scientific technique to elicit physical and mental relaxation response, to change one’s attitude and transform life-style. Regular practice of it brings transformation in overall wellbeing of person. The cardiovascular morbidity is increasing in India in recent years. The present study was done to know the effect of meditation on heart rate and blood pressure in healthy volunteers above the age of 35 years. The cardiovascular status of the subjects was assessed clinically in terms of resting heart rate and blood pressure before the start of meditation practice and again after 4 months of practice of meditation. The results were compared and analysed.. From the study it was observed that significant reduction in the heart rate occurs in the subjects practicing meditation (P < 0.001). The systolic blood pressure was lowered to a highly significant level (P < 0.001). The diastolic blood pressure was reduced significantly (P < 0.001). This shows that the yoga provides significant improvement in ageing to reduce the morbidity and mortality from cardiovascular diseases. Meditation provides significant improvements in physiological cardiovascular functions by tilting of autonomic balance from sympathetic in favour of parasympathetic.

With the development of internet, people became rapidly familiar with the e-commerce concepts and tended to shop online rather than personally visit stores. Online shopping refers to electronic commerce which allows consumers to directly buy goods or services from a seller over the internet using a web browser. Even though internet usage in Sri Lanka is very high, online shopping is not much accepted in Sri Lanka yet. Therefore, the purpose of this study is to investigate the relationship between the factors which may influence online shopping and consumers’ attitude on online shopping. The quantitative survey method was conducted by distributing the questionnaires to western province people of Sri Lanka as the population. 500 people were selected to distribute the questionnaire from the districts of Gampaha, Colombo, and Kalutara to collect the data. 350 questionnaires were collected. Close-ended questions with 5 point Likert Scale was used throughout the study. The data was interpreted using analytical tool SPSS. The Multiple Regression Model was used as the key analysis tool. The study found that the consumer life style and vendor/service product characteristics significantly affecting to consumer attitude on online shopping and those two predictors showed negative relationship towards the consumer attitude on online shopping. The other two predictors (previous online shopping experience and website quality) showed positive but insignificant relationship towards consumer attitude on online shopping in western province of Sri Lanka. Hence, policy makers should pay attention to those factors and should try to minimize the negative attitude regarding online shopping in Sri Lanka. In this study, the impact to the attitude regarding online shopping by using four independent factors was found out. Therefore, future researcher can increase the research scope by adding factors such as online shopping intention and consumer online shopping behavior additionally to the four dimensions.

Background: Identification of skeletal remains is of utmost importance in medico- legal investigations. Skeletal components are often investigated for gender determination the skull and pelvis along with the mandible being a practical element to analyze gender variation in the fragmented bones of a dense layer of compact bone makes it very durable and well preserved than any other bone. When sex determination using skeleton is considered, metric analyses on the radiographs are often found to be of superior value owing to their objectivity, accuracy and reproducibility. Aims And Objectives: The following were the aims and objectives of our study:- 1) To measure the various morphometric parameters of the mandible in digital panoramic radiographs, determine variations in the morphometric parameters of the mandible, based on gender. 2) To correlate these findings in gender determination. 3) To find out which are the most reliable parameters in gender determination. Materials And Methods: A retrospective study was conducted using panoramic radiographs of 100 males and100 females, which were taken using Orthophos XG machine 64 KV, 8mA and 14.1 seconds). Twelve parameters such as maximum ramus breadth, minimum ramus breadth, condylar height, projective height of ramus, coronoid height, height of mandible, superior margin of mental foramen to inferior border, inferior margin of mental foramen to inferior border, superior margin of mental foramen to alveolar crest, gonial angle, antegonial angle and antegonial depth were measured on both sides on digital panoramic radiographs .Measurements were made using mouse driven methods and anatomical landmarks. Statistical analysis was done. Results: There was significant difference in these parameters with p value < 0.05. Conclusion: This study shows strong evidence that mandibular measurements using panoramic radiographs were reliable for gender determination and the projective height of the ramus is the most significant of all the parameters, which may be used for gender determination using the mandible.

The objective of this study is twofold: first, determining methods for setting parameters which describe thyroid gland responses at the initial stages of a given iodine-131 metabolic radiotherapy, and second, predicting treatment outcome. Radioactivity measurements were taken on patients suffering from hyperthyroidism. Two physicochemical parameters were analyzed and studied: iodine-131 thyroidal uptake and effective half-life. We thus achieved a much higher rate of success with minimal reverse results. The effective half-life, combined with thyroidal uptake, led to better predictions of success or failure for a given treatment. These set procedures allowed us to describe beforehand thyroid gland responses to metabolic radiotherapy as compared to the conventional methods exacting periods of more than six months.

The study was conducted on Haryanvi 800 adults comprising of 400 males and 400 females. Measurements were taken using standard anthropometric instruments.i.e. varnier calliper and anthropometric rod. The purpose of study was to access the bizygomatic diameter and stature and to find out the correlation between them. The data were then analysed by statistical software. The mean bizygomatic diameter for male and female were 13.08 and 12.35 respectively. The mean stature was 168.71 in male and 155.18 in female. Both the measurements were more in males then females. The results showed a statistically significant correlation between bizygomatic diameter and stature in both sexes.

The aim of this study is to determine what factors make banking companies doing earnings management in Indonesia. Based on previous research, we identify some factors can make the company doing earnings management such as tax avoidance, leverage, company size and corporate governance components for example IO (Institutional Ownership), BOC (Board of commissioner), IC (independent commissioner). The research proved that the banking companies in Indonesia applies corporate governance to improve the quality of financial statement and avoid earnings management. These results also showed that tax avoidance, leverage, size company has no significant effect on earnings management.