Background: Stress is a negative emotional, cognitive, behavioral and physiological process occurs as individual adjusts with stressors. Stress-induced eating may be one of the factors that leads to obesity due to increased calorie intake, associated with excess cortisol secretion. Present study aimed to assess the level of perceived stress and its association with BMI in health professional beginners. The objectives were to assess the level of stress by pre-validated perceived stress scale and the relationship between stress and obesity in first year health professional students. Material and Methods: A cross sectional study was conducted in the Department of Biochemistry, SBKS MI & RC, SVDU for consecutive two batches 2016-17 & 2017-18. Total 506 first year MBBS, BDS & BPT students were studied for age, gender and demographic parameters as weight, height & BMI. Stress was assessed by PSS-10 scale. Two groups were identified as their PSS score, stressed and non-stressed. Results: PSS score showed that among all participants 71.74% (N=363) students were stressed and 28.26% (N=143) students were non stressed. Out of 506 students 151 (approx 30%) students were having above normal BMI. BMI & PSS score showed significant association (X2, p <0.05). PSS score found to be significantly more when compared for overweight and obese categories than Normal and underweight. Conclusion: The significant association between stress level and increasing BMI shows that prompt measures should be taken to control obesity in young health professionals to control the stress and anxiety also to prevent the occurrence of life‑threatening diseases such as diabetes and hypertension.

Background: Water is an essential solvent and used daily by humans. Consumption of water contaminated with diesel has been shown to impact negatively on organs such as the brain, liver, spinal cord, kidney and others. The brain is a prime organ in the human body and responsible for general coordination and intelligence. Protecting the brain from harmful substances is necessary as this would mitigate neurodegenerative disorders which are obvious in our society. This study was carried out to determine the possible effects of diesel fuel on the histology of the brain of male albino wistar rate. Materials and Methods: A total of 20 rates were used to carry out this research. The animals were grouped in 2 groups; groups A (Control) and B. Group A was administered with good feed and clean water. Group B was administered with feed and water contaminated with diesel for varying periods of time ranging from 1 to 5 weeks. At the end of the given periods the brains were harvested and histopathological investigations for alteration in brain tissues was carried out using routine tissue processing methods and H and E staining methods. Results and Discussion: There was no histopathological alteration of brian tissues harvested from the control animals which were administered with clean water and uncontaminated feed. There was no alteration of brain tissues observed after week 2. The brain tissues harvested from animals whose feed and water were contaminated with diesel showed no histopathological changes when compared with that of the control (group A). A similar observation was made for weeks 3 through 5 for the animals in group B. Conclusion: There were no observed effects of diesel contaminated water on the histology of the brain tissues of male albino wistar rats which may be due to the active protecting effect of the blood-brain barrier

Introduction: Retained foreign bodies during surgery are considered as completely avoidable events. There is a large body of literature that has attempted to identify risk factors and create protocols to prevent the occurrence of the same. Dislodgement of orthodontic fixed appliance components [OFAC] can occur during orthognathic surgery on account of the excessive forces that they may be subjected to during the procedure. Case Report: A 19-year-old female patient underwent a bi-jaw orthognathic surgery for a hypoplastic maxilla. A routine post-operative radiograph displayed an orthodontic molar tube within the right mid ramal region on the 3rd post-operative day. The molar tube was retrieved under general anesthesia with the assistance of an intra-operative c-arm for accurate localization of the bracket. The patient recovered well after the procedure. Conclusion: A potential long-term complication [e.g. space infections] was avoided as the molar tube was identified in the immediate post-operative phase. Pre, intra and post-operative measures has been suggested to prevent such complications. Possible risk factors that may contribute to retained foreign bodies in the surgical site have also been briefly been identified

Cystatin C is a cysteine proteinase inhibitor belonging to type 2 cystatin superfamily produced endogenously. The main catabolic site of cystatin C is Kidneys. It has been shown that cystatin C is a better marker of kidney dysfunction compared to creatinine. We in the present study tried to evaluate the cystatin C and creatinine levels in normal and hypertensive subjects and correlate the cystatin C levels with blood pressure and kidney functions in this group of the population. Methods: This prospective cross-sectional study was conducted in the Department of Biochemistry and General Medicine, Rajiv Gandhi Institute of Medical Sciences, Adilabad. A total of 105 patients were included in this study 56 patients were allotted to cystatin C group for estimation of cystatin C and 49 patients were allotted to creatinine group for estimation of creatinine levels. The results were arranged as quintile of cystatin C (Q1 – Q5) subgroups based on levels in cystatin C and similarly quintile of creatinine (Q1-Q5) in creatinine group. The coefficient of correlation ‘r' values was estimated for cystatin C and creatinine with SBP and DBP. Results: Cystatin C levels of all the 5 sub-groups (Q1- Q5) the strong positive correlation was shown for SBP by Q4 with ‘r' values +5.48 and Q5 with ‘r' values +6.43 and DBP has positive correlation only in Q5 group value +0.44. Similarly, in the creatinine sub-groups, a positive correlation between SBP and creatinine levels found in Q4 and Q5 groups. The SBP in Q4 was with ‘r' value +0.31 and Q5 was with +0.49 the values of DBP did not show a significant positive correlation with creatinine levels in all the groups. Conclusion: it can be concluded that cystatin C is a better marker of kidney functions and can be used to evaluate the blood pressure changes affecting the kidneys. However, the cystatin C test is costly and may not be feasible in low resource settings. In such cases, the continuance of the use of creatinine may be done for monitoring the kidney functions in hypertension.

There has been lack of consensus regarding growth effect of Foreign Direct Investment (FDI) on host communities. For this reason, current research efforts now focus investigation on the impact of FDI on the manufacturing sector, being the sector with potential for harnessing the benefits of foreign investment. As a result, this study examined the impact of FDI on manufacturing sector performance, and subsequently traced the effect of this on agricultural production. Solow augmented growth model served as base for analysis while Autoregressive Distributed lag (ARDL) model was utilized in estimation. Findings show no support for any significant relationship between FDI and manufacturing sector performance, but a strong positive correlation exists between manufacturing output and agricultural production. On the bases of this, the study concludes with a research agenda; future investigation on the subject should focus on links among domestic firms, manufacturing sector performance and agricultural production

The present study purpose is to examine the effect of interest, talent, work facilities, social environment and wage on the performance of P4TK employees in the building and electricity field in Medan. Research populations are employees of general functional, specialized functional, educational laboratories, and education personnel development. Sample selection by census method is sampling where all members of the population are samples totaling 66 employees. Data used are derived from primary data and secondary data. This research analyzes the influence of interest and talent, work facilities, social environment, wages on the performance of P4TK employees in the field of building and electricity. The research method uses multiple regression by controlling it from the classic assumption test. The results of this study have found that partially interest and talent, social environment, wages have no significant effect on employee performance while work facilities have a significant impact on employee performance. However, interest and talent, work facilities, social environment, wages have a significant effect on employee performance simultaneously. Among the five independent variables, work facilities have the most significant influence on employee performance

Introduction: Hurler syndrome is an autosomal recessive inborn error of metabolism, resulting from deficiency of a-liduronidase, a catabolic mucopolysaccharidase, which leads to excessive systemic storage of the glycosaminoglycans (GAGs) heparan sulphate and dermatan sulphate [1]. Affected children may appear normal at birth. However, progression of the disease results in characteristic facial changes, hepatosplenomegaly cardiomyopathy, major skeletal abnormalities and CNS damage, resulting in severe disability, intellectual regression and death, usually by the age of 10 years. We report the case of a 7-year-old girl who was consulting for a visual impairment with photophobia. The ophthalmologic examination showed corneal opacities associated with bilateral papilled edema with an eye tone of 18mmHG for the eye right and 19 mmHG for the left eye. The abdominal examination finds a protruding abdomen with a hepato splenomegaly. Cardiovascular examination with doppler echo objective thickening mitro-aortic and tricuspid valves. The diagnosis was evoked before facial dysmorphism and then confirmed biologically (MPStype I-H). A bilateral trabeculectomy was performed while waiting for a marrow allograft. The early diagnosis of MPS, before the formation of neurological deficits, has become essential, since the treatment can stop the evolution. Thus, a better knowledge of the clinical picture by ophthalmologists could improve the prognosis

Background: The e-Rakt Kosh is an ambitious project to digitize blood banks across country for various objectives leading to smooth functioning for the benefit of patients. Most blood banks in the country have adopted it but there are ground realities that act as barriers in full implementation and adoption of this program. The knowledge of common issues that the staff of the blood bank feels toward the well-functioning of the program is beneficial to chart out strategies for improvement. Study: A questionnaire based study focusing on difficulties in the proper usage of the e-Rakt Kosh portal were noted and analyzed. Result: Seven key issues were identified that acted as roadblocks to the proper adoption and implementation of online entry and record keeping. Inappropriate manpower, computers and training were key parameters along with technological glitches of the online entry procedure. Conclusion: Proper and periodic assessment of performance is vital along with adequate manpower and infrastructure support in order to make this project a success in every blood bank.

This study examines the effect of each independent variable (Non Financial Compensation and Work Discipline) of the Dependent variable (Performance Officer). Then look at the effects of both independent variables simultaneously (simultaneous) against Dependent variables. This study was a descriptive study with a quantitative approach using. The information collected from respondents using research instruments like questionnaire with the object of an employee population PT Bank Pembangunan Daerah Sumatera Selatan and Bangka Belitung as many as 265 people, then taking a sample of 101 people. The result of using the first hypothesis, Compensation Nonfinancial significant effect on performance. The results of the second hypothesis that there is an influence on the Performance Work Discipline. The third hypothesis is that there is a significant Influence together (simultaneously) of two independent variables (Non Financial Compensation and Work Discipline) against variable Dependent (Performance). Based on the analysis, the company should provide more training routine according to a function of duty every employee fairly, giving appropriate promotion of employee performance, a comfortable working environment friendly without seeing positions. To discipline the company must give unequivocal sanctions and consequences for noncompliance. When it has been implemented, then the employee was awarded to complete the task of own difficulties and staffing should fit the skill areas of each division

This study aims to find out, develop and test the influence of Organizational Culture, Career Development, Work life Balance on Employee Engagement of PT XYZ. The type of research used is descriptive with a quantitative approach, through multiple linear regression analysis with IBM SPSS Version 23 program as a data processing tool. The population of this research is PT XYZ totaling 200 employees, and the number of samples is 60 respondents taken using purposive sampling technique with the type of sampling used is simple total sampling. Based on the results of statistical tests found that (1) organizational culture has a positive and significant effect on employee engagement with a coefficient of significance 0.043 (2) Career development has a positive and significant effect on employee engagement with a significance value of 0.004 (3) the worklife balance has a positive and significant effect on employee engagement with a significant value of 0.011 coefficient (4) organizational culture, career development and worklife balance simultaneously affect employee engagement at PT XYZ.

Interstitial lung diseases (ILDs) are a heterogeneous group of multiple pulmonary disorders. ILDs are characterized by an irreversible architectural distortion and impaired gas exchange; however, there is great variability in the clinical course. ILD diagnosis requires a combination of clinical data, radiological imaging and histological findings. It is necessary to find reliable predictors for the disease progression. Peripheral blood biomarkers offer the advantages of being readily obtained, non-invasive, and serially monitored. At the same time, successful management of ILD patients strictly depends on an accurate and confident diagnosis. In this context, the detection of reliable biomarkers able to identify ILD subtypes. This review focuses on selected validated and/or potentially interesting biomarkers investigated in the peripheral blood and lung tissue of patients with ILD associated with Connective tissue disease (CTD)

Awareness of Complementary and Alternative Medicine (CAM) has been increasing over time. The aim of this study was to determine the Patterns of CAM use, perceived benefits and adverse effects of CAM by the users, as well as the reasons for use. Also to estimate the monthly cost of CAM to users in the study area.A cross-sectional study design was used, and structured questionnaire was the means of data collection. Purposive sampling was done. Three hundred respondents (53.7% males and 46.3% females) participated in this study with 295 (98.3%) CAM-users and 5(1.7%) non-CAM users. The relationship between CAM use and all the socio-demographic characteristics were however not significant (p>0.05). The most popularly known CAM method was Traditional herbal medicine (95.3%) followed by vitamins (91.0%) and spiritual healing (71.7%). Majority of the respondents believed CAM products should be encouraged (91.7%), combined CAM with prescribed medications (55.5%) and did not inform their doctors of their CAM use (50.3%). About 34% believed that CAM products had side effects, while 21.4% reported experiencing these side effects. The surveyed respondents spent 5,000 -30,000 naira on CAM monthly. There is dire need for adequate regulatory policies on the formulation, distribution and use of CAM products as its use is prevalent.

Alternative dispute resolution system is not only money and time effective, it maintains and preserves the bonding between parties by motivating communication and collaboration. The paramount thought of resolving family dispute is maintenance of peace and harmony. Justice dealing system through courts have given rise to certain grave problems like huge pendency of cases and delay. Especially while dealing with matrimonial cases the alternative methods are better than court procedure. Family disputes are to be dealt with in the four walls; otherwise it will be a public issue where reunion chances are rare.

This study was done to assess the factors affecting birth preparedness and complication readiness (BP/CR) among pregnant women. The area of study was antenatal clinic of primary health centre Arondizuogu Okigwe L. G a of Imo State. The objectives of the study were; to assess the knowledge of mothers about Birth Preparedness and Complication Readiness, to identify the factors affecting the practice of Birth Preparedness and Complication Readiness, to assess the male involvement in Birth Preparedness and Complication Readiness. The purposive sample technique was used to select 76 pregnant women who met the study criteria. The instrument used for data collection was a questionnaire. The results from the study showed that about 56(76.3%) of the 76 respondents who have heard about Birth preparedness and complication readiness have adequate knowledge of it. However, about 25(32.9%) gave negative reasons why they do not practice Birth preparedness and complication readiness while about 65(86.8%) were being supported by their spouse in Birth preparedness and complication readiness practice. Some factors were identified by some of the respondents as factors that impede the practice of Birth preparedness and complication readiness .Recommendations were made to teach mothers ways of dealing with these factors, and the work was summarized and concluded based on the research findings.

This research work was carried out to ascertain the perception and utilization of information and communication technology (ICT) in nursing care delivery by midwives in Imo State University Teaching hospital Orlu. The objective of the study was to ascertain midwives perception of the use of ICT, to ascertain the current level of usage of ICT and find out factors hindering the use of ICT. the significance of the study was to assist the management of health institutions where midwives are employed to gain insight into the midwives perception and usage of ICT tools in the discharged of their services, the research was a descriptive research was a descriptive research design aimed at ascertaining the midwives’ perception and utilization of information communication technology for nursing care delivery in IMSUTH Orlu. The target population is 500 midwives and sample size was 100 midwives both students and working class nurses. Questionnaires were used for data collection and data analyzed using descriptive statistics and presented in tables and charts. The results revealed that majority of the respondents had a positive perception towards ICT, majority make use of ICT in patient care and factors that hinder the utilization of ICT include low level of computer knowledge, busy work schedule and inaccessibility of facilities. It is therefore recommended that continuing education programmes on ICT application should be organized for midwives in IMSUTH Orlu and curriculum for midwives training should include computer studies, health information and ICT application, also health organizations in Orlu, even in Imo state generally, should provide internet and other ICT facilities in the institutions in order to enhance access and usage of ICT by the staff of the hospital, including midwives.