The peculiar anatomy, muscular attachment, and thickness of cortical plate which is interposed between the thicker tooth‑bearing mandibular body and the thinner ascending ramus in addition to the presence of the third molar makes the angle region of the mandible irreplaceable. Innumerable treatment modalities have been proposed for mandibular angle fractures; although the ideal modality remains controversial. The choice of fixation in maxillofacial skeleton should be reformed based on the fracture patterns, displacement, stability of segments, and satisfactory postoperative function. However, due to the varied fracture patterns, there arises a need for variation in fixation devices and their localization. We put forth a case of a mandibular angle fracture displaying a unique fracture pattern and its management along with a brief review and update pertaining to the way mandibular angle fractures should be managed

The use of preservatives in inhibiting and retarding the growth of microorganism responsible for the spoilage or decay of food substance is of great interest. The anti-microbial activities of plant extracts like pawpaw form the basis for many applications, including raw and processed food preservation, pharmaceuticals, alternative medicines and natural therapies. Therefore, this work was aimed at evaluating the preservative effect of pawpaw (carica papaya) seed extract on some selected food materials. T-solo variety of pawpaw was obtained from Akintola Farm, Kinnira, Ogbomoso and the seeds were fermented. Extracts from the fermented seeds were obtained using petroleum ether, n-hexane and hot aqueous solvents. Antioxidative study was carried out on the crude extracts using 1,1- diphenyl-1- picrylhydrazil radical (DPPH) assay. Total Viable Bacteria (TVB) and Total Fungi Count (TFC) of akara, fish, soymilk and dairy milk were carried out. The DPPH were 42.14, 33.28, 18.85% for petroleum ether, n-hexane and hot aqueous extracts, respectively. The TVB and TFC of akara, fish, soymilk and dairy milk samples ranged (1.00 -1.42 x104, 0.60-1.57 x102; 1.30- 2.28x104, 1.50-2.22x102; 1.43-2.37x104, 0.80-2.86 x102 cfu/g and 1.20-2.60 x 104, 1.05 - 1.67 x 102 cfu/g), respectively.

Uraemia is the clinical syndrome which occurs when there is a marked nitrogen retention due to renal failure. It had been suggested that urea level has an effect on coagulation and haematological profile. The haemostatic status was studied in Thirty known uraemic patients of the University of Nigeria Teaching Hospital Enugu. Fifteen non-uraemic people were used as controls. The mean result obtained are as follows:-Packed cell volume (PCV), 29 ± 5.4%, Platelet count, 238 + 80.4 n 109L, prothrombin time, 14.8 + 1.45 seconds, Bleeding time 5.9 + 1.98 minutes. For control subjects the following result were obtained: Packed cell volume40.8 + 2.4%, Platelet count 267 ±48 x 109L, Prothrombin time 12.9 +_0.93 seconds and Bleeding time 2.43 + 0.52 minutes. A statistical comparison of the above results between uraemic patients and control subjects showed that there were no significant difference in the platelet count (P>0.20) and prothrombin time (P>0.1) but showed significant difference in the packed cell volume and Bleeding time. A weakly positive correlation (r= + 0.11) was found to exit between prolongation of bleeding time and blood urea

The main purpose of this research is to find out the relationship between capital structure (debt-equity) as and Profitability of the listed cement companies in Pakistan Stock Exchange. Further specific objective is to find out relation of debt equity with gross profit, earning per share, and return on capital and return on equity. The sample is taken from 10 cement companies which are listed on Pakistan stock exchange. The secondary data is taken from 2011 to 2018 (i.e. 8 years). Mean and standard deviation of all ratios and Pearson product correlation analysis is performed with the help of Eviews 9 to find the relationship between capital structure and profitability. This research determines that debt / equity (Capital Structure) is adversely linked with the profitability, it suggests that decrease in the profitability of the organizations is due to increase in debt capital & vice versa.

Background: Approximately 1–2% of the adult population in developed countries has Heart Failure, with the prevalence rising to ≥10% among persons 70 years or more. Most of the molecular and cellular mechanisms responsible for the cardiovascular effects of thyroid hormone have been clarified. Thyroid hormones produce changes in cardiac inotropism and chronotropism more rapidly than would be expected from regulation of gene expression. Hypothyroidism causes cardiac atrophy, due to decreased αMHC expression and increased β MHC expression. Moreover, hypothyroidism also leads to chamber dilatation and impaired myocardial blood flow [1]. Material and Methods: 200 patients between age group of 45 to 75 yrs, presented in medical emergency and medical outdoor of the institution with heart failure were studied. Comparison of Thyroid Profile and LVIDd (Left Ventricular Internal Diameter at Diastole) was done at Baseline, 3 months and 6 months. Results: After comparing the thyroid profile and 2DEchocardiography findings in subclinical hypothyroidism of treated group after 6 months, there was increase in TSH and fall in FT4 (p 0.001) with a significant improvement in LVIDd. Conclusion: There was improvement in EF, a decrease in LVIDd, increase in Mitral E velocity, decrease in Mitral A velocity and increase in E/A ratio in cases as compared to controls with treatment

The transformation of the Ministry of Defense's budget policy, the Indonesian National Armed Forces Headquarters and three other departments (Army Headquarters, Navy Headquarters and Air Force Headquarters) from the money follow function to money follow approach requires the implementation and development of holistic financial planning, budgeting and management information systems. thematic and integrative. The pattern of relationships between variables concerning human resources in organizations, such as user participation, user satisfaction, user perceptions of task complexity, perceptions of system complexity and perceptions of system performance determine the effectiveness and efficiency of information systems. This study aims to find out what the overall level of compatibility of the model explains the direct and indirect relationship between participation, task complexity, system complexity, satisfaction with performance. Using a single cross-sectional survey design, data collection through face-to-face interviews with 209 information system users with a questionnaire as the main data collection tool and data analysis applying the structural equation model (Structural Equation Model) with the help of LISREL 8.5 software, this study concluded that there were compatibility of the whole model, measurement model and structural model hypothesized by research with data obtained from research (survey).

Dengue fever is a mosquito-borne tropical disease caused by the dengue virus. Symptoms typically begin three to fourteen days after infection. This may include a high fever, headache, vomiting, muscle and joint pains, and a characteristic skin rash. Recovery generally takes two to seven days. The present study was conducted in Department of Medicine, Adichunchanagiri Institute of Medical Sciences, from the period of January 2017 to December 2018 to Study of Clinical and Haematological profile of patients with dengue fever. In our study, the incidence of dengue fever common in males compared to females. Majority of patients were in the age group 31-40 years. Out of 100 patients 69(69%) patients were diagnosed to have DF, 24(24%) patients were diagnosed to have DHF and 7(7%) patients were diagnosed to have DSS based on WHO criteria. Fever was present in100 cases, myalgia in 94 cases, headache was present in 81 cases, joint pains in 90cases, vomiting in 74 cases, pain abdomen in 69 cases, rash in 52 cases, hepatomegaly in 21 cases, bleeding in 34 cases and shock in9 cases. As per WHO criteria 71(71%) patients had low platelet counts. Apart from attempts to control the spread of the Aedes mosquito there are ongoing efforts to develop antiviral drugs that would be used to treat attacks of dengue fever and prevent severe complications. Discovery of the structure of the viral proteins may aid the development of effective drugs

The incidence of breast cancer is increasing throughout the world as well as in India. Many risk factors and prognostic factors of breast cancer have been identified but the associations between mast cell infiltration and the clinical features of breast cancer remain unclear. The aim of the study was to estimate the mast cells number in malignant tumors and axillary lymph node and to find out any correlation between the number of mast cells and hormone receptor status. An institution based descriptive study was done in a tertiary care hospital. Total 44 specimens of post operative breast tissue with malignant breast lesion & dissected axillary lymph nodes were taken. Counting of mast cells was done in Toluidine blue stain. Immunohistochemical staining was done for ER, PR & HER2/neu using immunostaining kit. It was observed that when the tumor grade increases the number of must cell decreased per high power field. The mast cell count was significantly higher in cases of ER positive and PR positive breast cancers than that of the ER negative and PR negative respectively but there was no significant relation between mast cell count of HER2/neu. Mean mast cell count of triple negative cases was significantly low. This study indicated that the number of mast cells in breast cancer was inversely correlated with the grade of this tumor and higher mast cell count was related to good prognosis.

Background: With increasing rate of institutional deliveries, PPIUCD serves as an effective method of contraception that can be easily availed to the parturient at the health care facility. Objective: The present study evaluates the awareness and acceptance rates of PPIUCD among parturient at the time of delivery in both vaginal delivery and caesarean section. The continuation rate was also assessed at the first postpartum visit that is at 6 weeks. Method: This prospective interventional study was conducted in the Department of Obstetrics and Gynecology, Kamla Raja Hospital, Gwalior for a period of one year from Nov 2014 to Nov 2015. 100 cases of normal vaginal delivery and 100 cases of lower segment caesarean section were randomly selected and CuT 380A was inserted after obtaining their written consent. Result: Mean age of the study sample was 27.5 years ± 3.5years. The acceptance rate was higher when the counselling was done in early labor (61.5%). It was higher in primigravida (53%) than multigravida (47%). Its long term effect is the commonest reason for accepting this method. Most common complication that resulted in removal of PPIUCD was excessive bleeding per vaginum in vaginal delivery and pain in lower abdomen in caesarean section. Spontaneous expulsion of the device was noted in 3% of vaginal insertions and none in the cesarean insertion. Conclusion: PPIUCD is an excellent long term contraceptive method to limit or space child births offered to a woman in a setting when she is highly motivated and genuinely needs it.

In globalization era, most of children are easier to be interfered with the facilities provided by the development of era. It influences students thought, behavior, and character that can cause the development of emotional. As parent must be more sensitive to give children parenting for their emotionals, to guide and teach toward something proper and belong before they go down into worse behavior as the result of lost control of emotional. This research is aimed to find the way how to do parenting properly toward the children based on Islam perspective. The method of research used is done by Library Research in term of related and relevant books toward the existed case in this research. The result of this research shows that emotional parenting is quitely important and there are four important phases of children life related with their emotional characteristics. Moreover, in every single phase has own parenting method to be implemented.

Background: Patients with acute bronchiolitis are more prone to develop heart failure even in those without underlying cardiac diseases. Clinical assessment of heart failure in such subjects is a challenge. Our objective was to evaluate the diagnostic utility of myocardial performance index and B-type natriuretic peptide (BNP) as predictors of Heart failure during acute bronchiolitis and correlate them to clinical manifestation. Method: 50 subjects with acute bronchiolitis were enrolled in the study over one year duration; 30 healthy subjects of matched age and gender as control group. Heart failure was identified according to clinical, cardiomegaly in X ray and modified ROS classification. We assess the association between clinical manifestations, echocardiographic findings and serum BNP in subjects with bronchiolitis with and without heart failure. Results: 30% of subjects with bronchiolitis developed heart failure. There is significant decreased tricuspid and mitral annular plane systolic excursion and significant increase in pulmonary artery systolic pressure, myocardial performance index (MPI) and BNP during acute bronchiolitis especially among those who developed heart failure. Regression analysis revealed that MPI and BNP are independent predictors of heart failure during acute bronchiolitis. Conclusion: MPI is a valuable echocardiographic marker for early detection of heart failure while BNP is a useful circulating biomarker that can be used to differentiate respiratory distress due to heart failure from pulmonary diseases. It can also be used to estimate the prognosis, as well as to predict cardiac complication in infants presented with acute bronchiolitis

Coronoid process is a triangular plate of bone seen in the upper part of ramus of the mandible. It shows variations in the shape due to the differences in the attachment of two important muscles of mastication- masseter and temporalis. The changes in the shape helps in identification of race and to surgeons during operative procedures. The aim of the present study is to observe the changes in the shape and to compare with other studies. 121 sides of the mandibles were studied and the results were represented graphically. A unique quadrilateral shape of the coronoid process was detected for a mandible unilaterally. The most common shape was triangular (43.80%) followed by rounded (38.84%) and hooked (16.52%) in that order. The values correlated with other studies on comparison as p value calculated was significant statistically.

Proliferative verrucous leukoplakia (PVL) is a rare form of oral leukoplakia, which was first described in 1985 by Hansen et al. Since then, various published case series have presented PVL as a disease with aggressive biological behavior due to its high probability of recurrence and a high rate of malignant transformation, usually higher than 70%. PVL is a long-term progressive condition, which is observed more frequently in elderly women, over 60 years at the time of diagnosis. We here by present a case of oral proliferative verrucous leukoplakia of retromolar triangle including gingivobuccal sulcus where nasolabial flap was used for reconstruction of the defect

Hospital assessment and performance are crucial measures to evaluate the efficacy of any health Centre and it requires a thorough knowledge about the same. A retrospective evaluation from 1st Aug 2018 to 30th Aug 2018 of the tertiary hospital were assessed for Bed Occupancy Rate, Bed Turnover Ratio , Average Length of Stay, Mortality rate for ICUs, Mortality rate for hospital and were subjected to mathematical formula to calculate and interpret the results. This manuscript provides the case study and a mini review on the same. Comprehensive assessment of hospital enables the identification of strengths and weaknesses in the system that can be used to develop new improving strategies.

Background: Background: Vitamin B12 (B12) deficiency leads to a wide spectrum of disorders affecting all age groups. However, reports on B12 status in vegetarian adults in India are limited. Hence, we determined the prevalence of B12 in the northern Indian vegetarian population. Methods: A cross sectional study was conducted in an urban north Indian population amongst 200 apparently adults distributed into 3 age groups: <20, 21-40 and >40 years. Plasma concentrations of B12 were analyzed. Results: The overall prevalence of B12 deficiency was 45%. B12 deficiency was higher in vegetarians (35.5%) compared to those consuming non vegetarian diet (9.5%). Conclusions: These results indicate a higher prevalence of B12 deficiency in apparently healthy vegetarian adults in a north Indian population