The essence of poetry lies in its expression of emotions, as is the case with poetry translation, which aims not only to express the meaning, but more importantly, to convey the emotions in the original poem. The study of Pound’s Cathay explores into the gains and losses in his translation of emotions from his idea of “Energy in Language” as well as his creative translation. The translation practice in Cathay shows that his two strategies of image juxtaposition and absolute rhythm have greatly enhanced the emotional effect in poetry translation. However, what cannot be neglected is that due to the distinct cultural background, there have been misreading about the poetry images and misunderstanding of the form of Chinese poetry, which inevitably lead to loss of emotional effect in poetry translation. It is hoped that this study can enlighten poetry translators and arouse their attention to the translation of emotions in poetry to gradually improve the translation quality of classical Chinese poetry.

Post-operative hearing loss is a very poorly understood complication in the medical field in general and in the Anesthesiology practice more specifically. This has been observed past three decades and yet, it still is a mystery and unresolved medical condition. Senso-neural hearing loss (SNHL) results in temporary deafness as a side-effect of a puncture during spinal (subarachnoid) anesthesia. Although it is also observed after general anesthesia, but the numbers are much less. In the present study, we report a case of 48 year old man who underwent a surgery for anal fistula incision with spinal anesthesia and complained about the hearing inability in both the ears (bilateral SNHL) started few hours after the surgery. His symptoms improved over a few days’ time with a conservative approach (rest, hydration and increased caffeine intake). There have been other reports on permanent type of hearing loss. Even though in a majority of cases, the patients recover, considering the threats from the minority, we believe that it is the responsibility of the medical staff to be aware of the patients’ condition before undertaking such surgeries and anesthesia

This study aims to analyze the influence of Brand Image, Company Image, and Promotion toward Purchase Decisions and Its Implications on Consumer Satisfaction in the Veterinary Medicine Industry of PT. XYZ. In an effort to maintain the continuity of its business in Indonesia, as one of the largest veterinary drug distributors in Indonesia PT XYZ continues to improve its performance with the main objective of increasing consumer satisfaction. The population used in this study is Consumers of PT. XYZ in the West Java region as many as 100 consumers. The analytical technique used is Structural Equation Modeling (SEM) with Partial Least Square (PLS) analysis tool Version 3.0. The results in this study are (1) Brand Image has a positive and significant effect on Purchase Decision, (2) Company Image has a positive and significant effect on Purchase Decision, (3) Promotion has a positive and significant effect on Purchasing Decision, (4) Purchasing Decisions have a positive and significant effect on Consumer Satisfaction, (5) Brand Image has a positive and significant effect on Consumer Satisfaction through Purchase Decision, (6) Company Image has a significant effect on Consumer Satisfaction through Purchase Decision, and (7) Promotion has a positive and significant effect on Consumer Satisfaction through Purchase Decision.

Abstract: Sepsis is a clinical syndrome that complicates severe infection and is characterized by inflammation and widespread tissue injury. The clinical process usually begins with infection, which potentially leads to sepsis and organ dysfunction [1]. It is estimated that puerperal sepsis causes at least 75,000 maternal deaths every year, mostly in low-income countries [2]. To assess specific management of maternal sepsis in High Dependency unit (HDU) and its impact on maternal outcome. Prospective study carried out at HDU in Gauhati Medical College (GMCH) and Hospital from 1st June 2017- 30th July 2018.All patients with sepsis admitted to HDU during the period of study were studied for their response to management and outcome is evaluated. Out 74 patients with sepsis admitted to HDU, 42 expired due to severe sepsis, septic shock or MODS. The total number of maternal deaths during the study period was 148 due to various causes and the total number of live births was 15802. So maternal sepsis was responsible for 28 % of maternal deaths. The calculated MMR for the period of study was 936/ lakh live births and calculated MMR for maternal sepsis was 265 / lakh live births. From this study it can be concluded that sepsis is an important cause of maternal morbidity and mortality. A positive blood culture and the antibiotic susceptibility testing of the isolates are the best guide in choosing the appropriate antimicrobial therapy in treating sepsis. Blood and blood products, vasopressors also plays important role as adjunctive treatment of sepsis.

Abstract: The objective of the study was to compare computed tomography (CT) imaging of patients with respect to neurological signs. This is a hospital based prospective observational study. 50 patients of eclampsia (both antepartum and postpartum) were studied. CT scan was performed within 48 hours of admission. Statistical analysis was done chi square test and unpaired student’s t test. In this study, of the 42 cases with CT scan abnormality, 39 women had neurological signs and symptoms and 3 cases did not have neurological signs and symptoms (p=0.000005). The sensitivity, specificity, positive predictive value and negative predictive value were found to be 92.85%, 75%, 95.12% and 66.66 % and the diagnostic accuracy was found to be 90%. CT scan of brain in eclampsia can provide useful intra cerebral information and should be done in cases with severe neurologic manifestations, if possible for every eclamptic mother. Further studies including diagnosis of specific neurological manifestations would emphasize the precise clinical presentations in women with eclampsia. Neuroimaging therefore, will help in modifying management protocol in eclampsia.

The objective of this study was to reveal the effects of opportunity, internal control, and management commitment on fraud opportunities. The samples were taken at some companies in Palembang, including PT. PLN UIP Sumbagsel, PT. PLN WS2JB, PT. Surveyor Indonesia and the Regional Mining and Energy Company totalling 154 respondents. Out of 154 questionnaires sent, 148 questionnaires were returned. The sampling was done using the purposive sampling technique. The data collected were the primary data which were first tested for their validity and reliability. The data analysis method used was the multiple regression analysis that had met the classical assumption testing requirements. The results of the study indicate that the opportunities have a significant effect on the fraudulent actions in the selected companies. Whereas the internal control and the management commitment have a negative effect on the fraudulent actions

Abstract: The objectives of the study were: a) To identify the different risk factors in Early onset Preeclampsia. b) To study the Fetomaternal outcomes in that group. This was a one year cross-sectional study conducted in the Department of Obstetrics and Gynaecology at Gauhati Medical College and Hospital.100 mothers with Early onset Preeclampsia (EO-PE) (<34 weeks of gestation) were taken. Data about maternal risk factors, maternal complications, foetal and neonatal outcome were analysed and statistical significance determined. Primiparity, increasing BMI, family history of preeclampsia and male sex of the foetus were found to be important risk factors in development of EO-PE. All the maternal complications like eclampsia, sepsis, systemic disorders, ICU admissions and maternal deaths were higher in EO-PE. Greater number of patients with EO-PE progressed to develop severe preeclampsia. The rate of neonatal complications like abnormal umbilical artery Doppler, low birth weight, reduced APGAR score was higher in EO-PE. Incidence of NICU admissions and neonatal/perinatal deaths was also noted to be higher in EO-PE. Classification of preeclampsia into early and late onset has both etiological and prognostic value. Early detection, close monitoring, timely intervention by the obstetrician and good neonatal care by the paediatrician is the key for successful outcome in Early onset preeclampsia.

Proper reactive power management for improving the a.c power system performance always result in loss minimization. It is all about the supply of reactive power in a transmission line to increase the transmittable power thereby making it compatible with the prevailing load demand. In this paper, various factors contributing to loss minimization in a.c networks were examined, and include the use of: shunt capacitors and reactors, synchronous capacitors, tap changing transformers, series capacitors e.t.c. Recommendations to minimize losses in the system were proffered in this study to ensure good power quality and security in the network.

Iron craft is a society cultural heritage that has to be preserved. There are many factors working on the sustainability of domestic iron craft industry. This research aims to investigate those factors. The primary data were collected through the field observation, deep interviews, surveys, and documentation. The secondary data were obtained from literature reviews. Those data were deeply analized by qualitative method. The result of this research reveals some factors obstracting the rise of iron craft productivity which are human resourses, management, and finishing. The decreasing number of labors working in this industry and the absence of potential future Iron craftmen as well as the inadequate tecnology application to do the finishing process. Good management practise is required to develop the iron craft business. The values believed by the blacksmiths are family values, community values, and cultural values. The trade off of technology application replacing the labors potentially decrease the current values. On the other hand, technology is requaired to increase the productivity.

The present study is planned to analyze radiographically examined success and failure of endodontically treated teeth among the patients who came at Taibah dental clinics, Saudi Arabia. One hundred (N=100) endodontically treated teeth were clinically examined by using dental mirror, dental explorer and periodontal probe. The periapical radiographs of these teeth were radiographically examined. Several reasons including defective restoration, periodontal disease, recurrent caries, under filling, poor density obturation, over filling and many others of each root filled canal were recorded in the patient data sheets. Chi square test was applied to determine statistical significance if any. Our study demonstrates 20% success rate of endodontic treatment while failure was recorded in 65% and potential failure in 15% of cases. Clinical data revealed defective restoration in 84% followed by periodontal disease (62%), recurrent caries (52%). When endodontic treatment was radiographically evaluated, periodontal lesion was observed in 74% followed by recurrent caries (73%), under obturation (50%), poor density obturation in (48%) of the cases. Defective restoration, poor density obturation, under obturation and periodontal diseases were significantly (p=0.001) associated with endodontic failure while periodontal disease is posing significantly higher risk of potential failure in this study. The success rate of endodontic treatment was found only in 20% and the most common cause of its failure was defective restoration followed by periodontal lesion, recurrent caries, under filling, poor density obturation etc.

The practice of defensive medicine (DM) including requesting unnecessary tests, procedures and treatments or avoiding risk taking is increasing worldwide. There is no data from the Arab world and Bahrain. It is vital to identify the drivers behind this growing practice in an attempt to combat it. In our study we aimed to estimate the practice of defensive medicine in primary care in the kingdom of Bahrain and to study the factors associated with it. We conducted a cross-sectional study between the months of March and June 2016 in all governmental health centers in the kingdom of Bahrain. Study participants were all the primary care doctors practicing clinically in those local health centers. A total of 247 physicians out of 285 (86.7%) completed the survey. Nearly all (86.6%) reported practicing defensive medicine. Taking more detailed history note taking (66.4%, 95% CI 60.5 -72.3) and ordering unnecessary tests than indicated 60.0%, 95% CI (54 -66.0) and avoiding risky procedures 59.0% (95% CI 53.0 -65.2), were there most common forms of DM practiced. Patient pressure, relief of anxiety and fear of legal claim, 86.4%, 65.0% and 62.0% respectively were the most common reasons given for the practice of DM. Significantly, physicians with more years of experience were less likely to practice DM and more likely to practice with extra hour of work per week (p< 0.05). We concluded that the practice of Defensive medicine is highly common among practicing primary care physicians in the Kingdom of Bahrain

To assess the clinical outcome of oral Vitamin D3 Supplementation in Type 2 Diabetes Mellitus patients with generalised chronic adult Periodontitis. A total of 92 subjects, comprising 46 in non diabetic and 46 in diabetic group were enrolled in the clinical trial according to the inclusion and exclusion criteria. Periodontal clinical parameter, Probing Pocket Depth (PPD) was assessed at baseline. Following initial examination Scaling and root planing was completed for all the subjects enrolled in the study and by cluster randomization first 25 subject subjects from each group were supplemented with oral vitamin D3 granules of 60,000IU once a week for 8 weeks following SRP. At the end of the study after 8 weeks, Probing Pocket Depth was reassessed. Significant improvement was seen in both interventions namely SRP +VITAMIN D and SRP alone .But marked reduction in PPD was seen in SRP+vitamin D supplemented group. Reduction in PPD was more for Non diabetic subjects when compared to Diabetic subjects. Vitamin D supplementation can be used as an adjunct to SRP for both diabetic and non diabetic patients with chronic periodontitis in vitamin D deficient subjects.

The property of iron to get reversibly oxidized and reduced is essential for its metabolic functions. Severe iron deficiency can produce cardiovascular disease. Wide range of biochemical markers are implicated in the pathogenesis of anaemia like Serum Ferritin, Malondialdehyde and Homocysteine. The purpose of the study is to assess serum ferritin, homocysteine and plasma malondialdehyde levels in Iron deficiency anaemic patients and to find whether anaemic patients are prone to cardiovascular disease or not. A case control study was carried out at Lata Mangeshkar hospital, Nagpur in which serum malondialdehyde and homocysteine levels measured in 30 diagnosed patients of Iron deficiency anaemia in the age from 19 to 40 years were compared with healthy controls. Malondialdehyde was estimated by the method of Randox laboratory. Serum homocysteine was measured by using ELISA kits. The data was analysed for correlation between levels of homocysteine and malondialdehyde with serum ferritin in patients of Iron deficiency anaemia. Serum malondialdehyde levels in patients with Iron deficiency anaemia were higher i.e. 0.680+0.349 (ng/ml) than in controls which were 0.144+0.102 (ng/ml) with a statistically significant value of p <0.05.Statistically, there was also a significant rise in homocysteine levels in patients with Iron deficiency anaemia i.e.76.105+16.836(ng/ml) as compared to 27.57+12.11 (ng/ml) in controls. An inverse relation exists between serum ferritin and markers of oxidative stress. Iron deficiency anaemic patients have elevated levels of malondialdehyde and homocysteine than the control group and both these parameters may be common mediators in the pathogenesis of accelerated atherosclerosis.

This paper aims to focus, to bring the existing misperception of the letters „p‟ and „b‟ in panoramic view, to make the readers understand that there is nothing defective on the side of the speakers‟ in comprehending the sounds of the letters /p/ and /b/ when they listen to, alike other phonemic sounds. Further, it is to exercise the spectrographic picturization of the aforementioned letters for the scientific development, the theories involved in, and to bring out the linguistic phenomenon spread over the pronunciation of /p/ and /b/ phonemes.

Infertility has remained a major health problem among couples and sexually active individuals who seek to procreate, and the search for therapeutic solutions have remained endless. This led to the consumption of moringa oleifera as fertility aid. Therefore, this study investigated the effects of ethanolic extract of moringa oleifera seeds and leaves on pregnancy. Eighty-four (84) albino rats comparing of 56 females and 28 males, which acclimatised for two weeks and mated in ratio of 2 females to 1 male, the pregnant female rats were then divided into 7 Groups of 7; All rats were weighed on a daily basis throughout the research period. Group 1- Control (10ml/kg body weight/day of vehicle [Tween 80] orally). Groups 2-4 (Seed extract at dose level of 100, 200 and 400mg/kg body weight/day respectively), Groups 5-7 (Seed extract at dose level of 100, 200 and 400mg/kg body weight/day respectively). Administration was carried out throughout the gestation period. The blood samples were collected for hormonal assay and under standard aesthetic conditions. From the results it was observed that the moringa oleifera leave and seed extract caused resorption of the foetus with decrease in weight in a dose dependent manner; however, there was no disruption of the normal gestation. The levels of FSH and LH for animals treated with 400mg/kg were significantly lower than those of 200mg/kg, 100mg/kg and the control group. In conclusion, the ethanol extract of both the leaf and seed of moringa oleifera has shown abortifacient effect and therefore not advise for consumption during pregnancy.