As the war on terrorism moves beyond boundaries, it is clear that the international community focus remains almost entirely on the Middle East. Every group mentioned by the American administrative regarding international terrorism has to do with Arab and Muslim world. And the two Middle Eastern members of the “axis of evil,” Iran and Iraq, were cited for being sponsors of terror, but not for being behind al-Qaida’s operations. Understandably, the horror committed by al-Qaida, and the threat that it still poses, have focused the attention on the Middle East. But it is a mistake to imagine that the global terrorism problem beyond al-Qaida is primarily Middle Eastern. There is too much terrorism in the Middle East and the international community must seek to reduce it, but it must be put in global perspective. In the two decades preceding the tragedy of September 11th, the Middle East was not the leading region in the number of terrorist incidents or in the number of casualties from terrorism. Moreover, while the terrorist trend in the Middle East moved downward every single year, it moved upward in other regions, including Africa, Asia and Latin America. However, this paper is a try to bring about the Arab perspective regarding international terrorism by discussing the main issue around the phenomena.

The present study has been carried out to determine the number of the nutrient foramina in adult human forearm bones. The nutrient foramina are cavities that conduct the nutrient arteries and the peripheral nerves. The nutrient artery provides the main source of blood supply to the long bones. The present study was done on 114 adult humen forearm bones comprising 57 radii and 57 ulnae to observe number of nutrient foramina and our result shows out of 114 forearm bones 105 bones (92.10%) had single nutrient foramina and 8 bones had double nutrient foramina and 1 bone had no nutrient foramina. We can conclude from the result both Forearm bones possess a nutrient foramina which enlightening to the resection in orthopedics and also for the bone grafting.

The present study has been carried out to determine the direction of the nutrient foramina in adult human forearm bones. The nutrient foramina are cavities that conduct the nutrient arteries and the peripheral nerves. The nutrient artery provides the main source of blood supply to the long bones. The present study was done on 114 adult human forearm bones comprising 57 radii and 57 ulnae to observe direction of nutrient foramina and our result shows that 100% of nutrient foramina in radii and ulnae directed away from growing end. We can conclude from the result the nutrient foramen is directed towards the upper end of forearm bones.

Diabetes Mellitus is a metabolic disorder char¬acterized by the presence of chronic hyperglycemia ac¬companied by alterations in the carbohydrate, protein, and lipid metabolisms. It has become a global epidemic, the complications of which have a significant bearing on the quality of life and longevity of an individual. Long standing hyperglycemia which is unattended can results in widespread multisystem damage in the form of retinopathy, neuropathy, nephropathy, macrovasular disease, and delayed wound healing. This article intends to put forth a complete review on the oral manifestations as a sequle of diabetes mellitus

Using the precipitation data of the sixteen stations in the south of the Yangtze River from 1955 to 2009, this paper calculated the drought index of each month and analyzed the change characteristics of the Station Proportion of Drought Frequency and the Drought Intensity based on the Standardized Precipitation Index (SPI). The results have shown that the drought tendency increased at different degrees in annual scale, and the main drought types are Spring Drought and Autumn Drought with the increasing trends on season scale. Meantime, the Summer Drought trend decreased, and the Winter Drought was considerable variation. As far as the space variation characteristics are concerned, the southwest region is the worst drought area, the southern region comes second, and the central and the eastern part are not so severe. As a drought index, SPI can well reflect a Regional Drought feature.

Mandibular high condylar fracture is still challenging task for oral maxillofacial surgeon to go for open reduction and internal fixation. Due to the complex anatomy of temporomandibular joint. Most surgeon prefer closed reduction for such fractures. However, some prefer opening and fixing it in correct form and position to achieve appropriate function. Some cases require fixation of the fracture segment outside the socket and refixation with the rest segment which is termed as extracorporeal fixation. Hereby we present a similar case report of 21-year-old male with difficulty in opening and closing mouth and DE arranged occlusion following road traffic accident. On radiographic investigation medially displaced right high condyle and left sub condylar fracture was detected and open reduction and internal fixation was done by extracorporeal fixation of right segment and normal fixation of left segment. extracorporeal fixation is an effective method for management of displaced and dislocated condylar fracture to achieve proper form and function

Chronic obstructive pulmonary disease is a leading cause of morbidity and mortality in adults all over the world. While other major causes of non-cancer mortality such as coronary artery disease and stroke have shown a consistent downward trend, COPD is the only one that continues to increase [1]. In the present study, Majority of patients were in the age group 61-70years. Out of 50 patients studied, 34 patients were male and 16 patients were females. Most of the patients are farmers by occupation followed by beedi worker and factory worker. Cough was present in 92% of patients, sputum production in 96% of patients, breathlessness in 88% of patients, weakness and fatigue was present in 54 % of patients and swelling of lower limbs in 30% of patients. Among 50 patients, 64% of patients were smokers and 36% were non-smokers. 82% of patients had use of accessory muscles of respiration, 52% patients had barrel shaped chest, chest movements were found to be minimal in 64% patients, rhonchi was present in 62% patients, crepitations were heard in 90% patients and clinical signs of pulmonary hypertension were present only in 36% patients.70% patients were found to have severe pulmonary hypertension, 28% had moderate pulmonary hypertension and mild pulmonary hypertension was present in 2%patients. Diagnosis of pulmonary hypertension in patients with COPD is difficult because patients diagnosed with COPD, and are stable, do not routinely undergo right heart catheterization – which makes PH more difficult to detect. In addition, the symptoms of both diseases are easily mistaken as the. While it is difficult to determine the prevalence of COPD with pulmonary hypertension, early detection can improve treatment and quality of life

During 5th & 6th century BC, sweet taste of urine in polyuric patient was described in Sanskrit (Indian) literature by Susruta, charaka, Vagbhata and the disease was named “Madhumeha”. They described that the urine of these patients tasted like honey (madhu), sticky to touch and Ants were strongly attracted to it. To correlate the blood sugar level with clinical manifestation of diabetic peripheral neuropathy in type 2 diabetes mellitus. The study includes all type 2 diabetic patients who attended the department of medicine, ADICHUNCHANAGIRI INSTITUTE OF MEDICAL SCIENCES. This study period was from JANUARY 2016 to DECEMBER 2016 with 100 sample size. Majority of patients were in the age group > 70years. Out of 100 patients studied, 50 patients were male and 50 patients were females. Peripheral neuropathy was more commonly seen in male (42 cases) compared to female (37 cases). Increased duration of diabetes had significant relation to Neuropathy. Out of the 100 diabetic neuropathy patients 18 patients had good control (18%) and 28 patients had fair control (28%) and 54 patient had poor control of blood sugars (54%). Symptoms pertaining to the involvement of the nervous system due to diabetes mellitus were further analyzed in all 100 cases. Sensory involvements were seen in 72 cases and motor involvement in 31 cases. Diabetic neuropathy is common complication of Diabetes mellitus. It is generally considered to be related to duration and severity of hyperglycemia, usually more than 50% of patients with the duration of diabetes of 25yrs or more are affected, making it as the most common disease of Nervous system. It is well known that Diabetes mellitus is rising in an epidemic proportion in Indian subcontinent, prevalence of Diabetic Neuropathy in type -2DM of this country was reported to be 17 to 19% and that of Automatic Neuropathy of 35% of peripheral neuropathy cases.

This article presents an algorithm for the generation of S-boxes with the maximum algebraic immunity and high nonlinearity. The algorithm is founded method of the permutation of output element of S-box. On basis of the proposed method, S(8x8)-box created, with the algebraic immunity 3 (441) and nonlinearity 104. The algorithm given in this article can be used for oscillation of S(8x8)-boxes with the increased resistance to algebraic, to algebraic, linear, differential and differential-linear methods of a cryptanalysis, for block symmetric algorithms of encryption.

In this study I aimed at analyzing the use of allegorical names and ironical names as techniques of depicting characters, settings and developing themes in Kiswahili novel, Ua La Faraja [1]. This study was guided by Structuralism theory. Structuralists view language as an independent structure. It is governed by its rules and principles. Language is a system which constitutes elements that are interelated. For example, the real meaning of a sentence emanates from a combination of its constituent elements such as nouns, adjectives, verbs and adverbs. Structuralists like Scholes posit that it is important to use Structuralism to analyse literary works because language and literature are related. The use of structuralism enables us to look at a literary work as a system with interrelated elements like: form and themes which make it complete. Data collection was done in the library. The selected novel and related literature were read with an aim of analyzing the use names. Data was extracted, categorized and analyzed to establish how the author of the selected novel used characters and settings with allegorical names and ironical names. It was established that allegorical names were used more than ironical names. These findings show that the author of the selected novel prefers the use of allegorical names more than ironical names. Also, It was established that settings and characters with allegorical names and ironical names have been used to develop other themes which are outside the meaning of their names. The findings of this research will benefit literary critics, authors, teachers and Kiswahili students in Secondary and even Universities in analyzing the use of allegorical and ironical names in literary work like plays, short stories and novels.

Introduction: Pseudomonas aeruginosa has been emerged as an important opportunistic pathogen. Being an extremely adaptable organism, it can survive and multiply even with minimal nutrients and is one of the leading causes of hospital acquired infections. P. aeruginosa exhibits intrinsic resistance to several antimicrobial agents. As a result of indiscriminate use of antibiotics, the spread of multidrug resistance (MDR) is now a global problem. Its general resistance is due to a combination of factor.Emergence of carbapenem resistance mainly Metallo-Beta-Lactamase (MBLs) in Pseudomonas aeruginosa which is considered as a world wide public health concern. Objectives: To study the detection of Pseudomonas aeruginosa and its antibiotic susceptibility pattern from various clinical samples in Tertiary Care Hospital, Bhavnagar, Gujarat. Materials and Methods: The Present study was undertaken at Microbiology Laboratory, Sir T. Hospital, Bhavnagar. 300 isolates of Pseudomonas aeruginosa were collected from various clinical samples between November-2013 to August-2014 .They were subjected to antibiotic sensitivity testing by Modified Kirby Bauer Disc Diffusion Method as per CLSI guidelines. Quality control of the test was done by standards ATCC strain P. aeruginosa 27853. Results: 300 Isolates were included in the study, out of which 95(32%) showed Imipenem Resistant. and were 100% resistant to Cefoatxime, and Imipenem. Gentamicin and Ciprofloxacin showed 84% and 93% resistance. Amikacin and Ofloxacin showed 89% resistance each. where as Piperacillin showed 75% resistance. Conclusions: Early detection will go a long way in making adjustments in empirical antimicrobial therapy. The study was coducted to formulate antibiotic policy and plan a proper hospital infection control strategy to prevent the spread of these MDR strains.

Soft skills have a very important role to improve individual capabilities and also to improve company capabilities. Soft skills attributes, including values, motivation, behavior, habits, character and attitude. The main objective of this study is to broaden understanding regarding the concept of soft skills for Z generation in the Industrial Revolution 4.0 era. If we take a look at the concept of baby boomers generation, X generation , Y generation and Z generation, we can conclude that the generation with the most potential in facing changes in the industrial revolution era 4.0 is Z generation .Z generation was a generation who has born above 1995. Companies and human resource managers must give more attention to Z generation . The main reason is , this generation will soon enter the workforce. With all the conditions and characteristics possessed by Z generation, this generation needs to be equipped with good soft skills. The types of soft skills that must be provided and owned by Z generation include interpersonal skills, communication skills, work ethics and leadership skills. Artikel ini juga merumuskan empat strategi bagi perusahaan untuk persiapannya dalam menerima generasi z untuk memasuki perusahaan

Background: Acute viral hepatitis (AVH) is a major public health problem and is an important cause of morbidity and mortality. Acute Viral Hepatitis A infection among adults .in developing country is low due to pre exposure of Hepatitis A virus (HAV) during childhood and adolescence. Anti-HAV prevalence in population worldwide has grouped countries into high, intermediate low and very low endemicity. The anti-HAV prevalence in Indian population is of high endemicity. But, there is heterogeneous exposure of hepatitis A virus in different region of the country. In India the age of acquiring HAV has a world-wide distribution and affects infant and young children in developing countries and its epidemics are not very common. HEV is restricted to tropical countries and affects older children and young adults and its epidemics are common. Studies suggested that HEV is etiologically responsible for 10%–95% of admitted cases of hepatitis. Exposure rates over a period of time are different in different parts of the country and in different socioeconomic groups. Objective: To determine the prevalence of Hepatitis A Virus (HAV) and Hepatitis E virus (HEV) infection among patients of suspected acute viral hepatitis admitted in Sola Civil Hospital, Ahmadabad / in a tertiary care hospital, Ahmadabad, Gujarat. To determine any change in the epidemiology of these infections with the age, gender and seasonal trends. Methods: This study was conducted in the Department of Microbiology, GMERS Medical College & Hospital, and Sola, which is a leading Tertiary care hospital and the major referral centre of Ahmedabad, Gujarat.

The glucose tolerance signifies the ability of the body to dispose off an additional load of glucose given. This test is useful in distinguishing a person with a normal glucose tolerance from people who have increased tolerance in disease conditions. Aim of the study to study on glucose tolerance test. Approximately 40% of subjects who will develop type 2 diabetes are within the NGT range at OGTT, indicating that there is a large number of NGT subjects who constitute the larger reservoir of future type 2 diabetes. OGTT detects diabetes more efficiently than FPG as it recognizes altered post-prandial metabolism.

The head and neck area is the most complex area of the human body, with its most physical connections to the outside environment. So it plays host to a variety of infections. Sinonasal tract fungal infections are not uncommon and the surgical pathologist is concerned with establishing a correct etiological diagnosis because many of the infectious fungal masses are confused with neoplasms both clinically and radiologically. So this study was aimed to identify the histomorphological type of fungal infections in the sinonasal tract and their prevalence according to various clinical parameters. This was a retrospective study carried out in the Department of Pathology, Karpaga Vinayaga Institute of Medical Sciences for a period of 3 years (Feb 2016 to Feb 2019) and all the Sinonasal tract lesions morphologically diagnosed to have fungal infections were included in this study. During the study period, Out of 11,301 total histopathology specimens received, 40 cases were diagnosed with sinonasal fungal infections (0.35%). Of these, 77.5% were males, 22.5% were females with male preponderance. The most common type of fungal infection was Aspergillosis (14 cases), followed by Mucormycosis (11cases). The most common site of infection in the sinonasal tract was Maxillary sinus. In this study, we attempted to determine the etiological diagnosis of sinonasal fungal infections and the Histopathological examination can render efficient identification of infectious fungal organisms and remains the only feasible and rapid means to identify fungal organisms for starting appropriate therapy for patients.