Patients with pelvic mass, especially ovarian masses are commonly encountered in gynaecology clinic and this can be either benign or malignant. There is no single method which canaccurately predict ovarian malignancy. Prompt identification of ovarian malignancies and referralto a gynec-oncologist can enhance the patient survival rates. Aim of this descriptive analytical study is to evaluate the Diagnostic accuracy of the Risk of Malignancy Indices (RMI) in discriminating benign and malignant ovarian masses. Patients operated for ovarian masses between January 2017 and December 2017 were included in the study. Data regarding menopausal status, ultrasound findings, serum CA125 level and post op pathology findings were collected and analysed. A score was assigned for ultrasound findings as follows:the presence of multilocular cystic lesions, solid areas, bilateral lesions, ascites and intra-abdominal metastases, scored one point each. A total ultrasound score (U-score) was calculated for each patient. Postmenopausal status was defined as more than one year of amenorrhea, or an age of 50 years or more if the woman had undergone hysterectomy. All other women were considered to be premenopausal. RMI1, RMI 2, RMI 3, RMI 4 were calculated for all patients together with the sensitivity, specificity, positive and negative predictive values of the four methods. RMI 1 = U × M × serum CA125, where a total ultrasound score of 0 gave U = 0, a score of 1 gave U = 1 and a score of > 2 gave U = 3; premenopausal status gave M = 1, postmenopausal M = 3. The serum level of CA125 was multiplied directly into the formula. RMI 2 = U × M × serum CA125, where a total ultrasound score of 0 or 1 gave U = 1 and a score of > 2 gave U = 4;

PAC plays an important role in helping parliament to ensure that the activities and spending of the government is according to the approval given by the parliament. In order for the PAC to be effective in performing their duties, they have to be independent in exercising their roles as a PAC members. The objective of the study is to examine the factors that contribute to the independent of the PAC in Malaysia. A study was conducted using qualitative approach to examine the factors that perceived to be important for the PAC to be independent from the perspective of PAC members and non-PAC members. The study reveals that the PAC need to be free from any form of interference, integrity of the members, non-partisan behaviour and chairman of the PAC from the opposition are the factors perceived to be important in order for the PAC to be independent.

Capital Asset Pricing Model (CAPM) Theory and Arbitrage Pricing Theory (APT) had been known as two theories that most well-known in asset pricing in the capital market until now besides the Fama and French Factor Model Theories. By using monthly data return from Indonesia stock exchange composite index (IDX Composite) and sectoral stock exchange index (IDX Sectoral) for 5 years from 2013-2017 for APT model, it is known that no one of the economic risk factor in the model that could explain the stock return movement in Indonesia’s capital market. By using the same data for the APT model limited for four sectoral stock price index for the same years, however, the CAPM model could explain the stock return movement in Indonesia’s capital market. Accordingly, the business people in Indonesia’s capital market considered more on the stock price than the sistemic risk of the macroeconomic risks.

Introduction: the theoretical basis used in this study is compliance theory. Compliance theory can encourage someone to comply more with applicable regulations, as well as taxpayers who try to fulfill their obligations, namely paying taxes in a timely manner. Tax payments that are made in a timely manner will be beneficial for the taxpayers themselves because they will not be subject to sanctions due to delays in paying taxes and will also be able to assist the state in fulfilling its obligations namely increasing infrastructure development to support public services. Objective of the papers: this study aims to determine: the simultaneous effect of service quality, penalties, and awareness of taxpayers to taxpayer compliance on MSMEs in Jambi City and the partial effect of service quality, penalties and awareness of taxpayers to taxpayer compliance on MSMEs in Jambi City and the dominant variables have an effect to taxpayer compliance on MSMEs in Jambi City. Method: The samples in this study were 90 respondents. Sampling was simple random sampling method. Methods of data collection using the survey questionnaire instrument. Statistical tests in this study using multiple linear regression analysis with a significance level of 5%. Findings: The results showed that both simultaneously and partially all variables, service quality, penalties, and awareness of taxpayer affect taxpayer compliance. Variables that have the greatest influence are service quality. Conclusion: With the influence of service quality, penalties, and awareness of taxpayers to enhancement taxpayer compliance on MSMEs in Jambi City, it is hoped that the Jambi City government can optimize revenue through the tax sector and optimize the growth of MSMEs in Jambi City.

The inflammatory proteins S100A8 and S100A9 form a heterocomplex associated with the prognosis of various cancers. This study aims to examine the association between S100A8 and S100A9 expressions and various pathological variables in primary lung adenocarcinoma (AC). Serial paraffin-embedded tissue sections from 150 patients with lung AC resected at the Shizuoka General Hospital were immunostained and assessed. In patients with invasive lung AC (n = 132), an overlap between S100A8 and S100A9 immunopositivities was observed. S100A8 alone was not reported, but both immunopositivities were associated with high histological grade (P < 0.05), and S100A8 immunopositivity was associated with vessel permeation, poor pT categories, node metastasis, and poor pStage (P < 0.05). In patients with AC in situ (n = 18), only limited S100A9 immunopositivity was observed. The overexpression of S100A8 (S100A8/S100A9 up-regulation) might be a poor prognostic factor in lung AC.

This study was designed to investigate the relationship between teachers’ classroom leadership styles and students’ achievement motivation in Obio-Akpor Local Government Area of Rivers State, Nigeria. Three research questions which were transformed into three hypotheses guided the study. The study adopted a correlational design. From SS II student population from 14 public senior secondary schools, 400 students were randomly selected and presented with two research questionnaires titled, “Teachers’ Classroom Leadership Style Questionnaire” (TCLSQ) and “Achievement Motivation Inventory” (AMI) adopted from Muthee and Thomas (2009). The TCLSQ and AMI had reliability coefficients of 0.83 and 0.86 respectively. Relevant data collected were analyzed with Pearson Product Moment Correlation Statistics. The results of the findings showed that, there was a positive and moderate relationship between autocratic leadership style and students’ achievement motivation, which was statistically significant. In addition, there was a positive but low relationship between teachers’ classroom leadership style of laissez-faire and students’ achievement motivation, which was however, also statistically significant. Finally, it was also found out that, there was a significant but positive and moderate relationship between teachers’ classroom democratic leadership style and students’ achievement motivation. Based on these findings, it was recommended among others that, teachers adopt leadership styles that will bring about optimal achievement motivation among students.

This study is analyzing about the issue of blood to various department and find out the major cause for need of blood. For that the issue of blood to various departments in Govt Sivagangai medical college in the year 2018 was collected and analysed. We found that more than 50% of our issue was to CEmON Centre (Comprehensive Emergency Obstetrics and Neonatal care). Among that the blood was mainly used for the correction of anaemia in antenatal and post-natal mothers. So correction of anaemia in early antenatal period by proper protocols will decrease the burden

This before-and-after type of educational intervention study was conducted in a municipal medical college in Maharashtra, India. The participants (60 first-year MBBS students, aged 18 years and above, of either gender) were briefed about peer-assisted learning. After a faculty-delivered conventional lecture, a pre-test was administered. The same topic was taught to the same batch by a trained peer teacher in the presence of faculty members. Subsequently, a post-test was administered. The questions in the post-test were identical to that in the pre-test. The mean marks (out of 60) of students increased from 42.9 +/- 5.98 to 47.16 +/- 5.60, exhibiting significant difference (p<0.00001) in the overall pre-and post-test scores. The mean marks of female students (n=30) were 43.87 +/- 6.46 and 48.07 +/- 5.13, in the preand post-tests, respectively, exhibiting a significant difference (p=0.0053). The mean marks of male students (n=30) also showed significant difference (p= 0.0070) in the pre-test (42.50 +/- 5.84) and post-test (46.57 +/- 5.86). The gender differences in the mean scores were not statistically significant in the pre-test (p=0.3886) and the post-test (p=0.2914). Formal use of peer-assisted learning in institutions would ensure collaborative learning that can be juxtaposed with conventional learning.

Introduction: Aoritc Augmentation indexes (AIxs) and pulse wave velocity (Pwv) are arterial stiffness parameters. They can be studied by pulse wave analysis noninvasively. Before use, AoAix and Pwv need normative baseline study to find the predictors. However the data about arterial stiffness from rural population of Andhrapradesh is still undetermined. Method: Pwv and AoAix was measured in the carotid-femoral pathway in 1235 rural inhabitants of Nellore district and clinical parameters were recorded. Result: Pwv was greater after the fourth decade of life (8.12 ± 1.5) than in youngers less than 40 years. The Pwv was higher in hypertensives of older than 40 years, diabetics and dyslipidemic patients. Major positive significant predictors of PWV were age, Body Mass Index, and systolic blood pressure; whereas for AIx was age alone. Conclusion: This is the first study conducted in 1235 subjects of rural population of Nellore district which determines the relationship of Pwv with age and other risk factors. Pwv shows a lower in subjects less than 40 years compared to older persons with a strong relationship to the process of arterial aging, the development of hypertension and cardiovascular risk. This baseline data can be used as a reference for future studies.

This study, using descriptive survey design, investigated basic computer word processing competencies and level of attainment of secondary school science teachers in Delta State Capital Territory, Nigeria. The population of the study was 150 (90 male and 60 female; 110 urban and 40 rural) science teachers from 15 secondary schools in Delta State Capital territory. The sample of the study was 135 (84 male and 51 female; 104 urban and 31 rural) science teachers. Five research questions were posted. A validated and reliable instrument, computer word processing competency attainment level, was used to collect data. Mean statistic, was used to analyze the data. The results revealed that secondary school science teachers in Delta State Capital Territory, irrespective of school location and gender, have high basic computer word processing competency level. Recommendations were given to encourage sustainable high manpower training of science teachers, in basic computer word processing.

Background: The ridge like impressions noticeable on the entire finger is called fingerprint. The study of fingerprints as a means of identification is called dactyloscopy and this process requires the comparison of the fingerprints of a yet to be identified individual to that of others within a data base to ascertain the extent of similarity; so as to draw inference of its origin. There is paucity of information on the Digital Patterns in Parents and Outcome in Offspring. Aim and Objective: This research was aimed at investigating the combinations of digital patterns in parents and outcome in offspring in Nigerian families resident in Rivers State, Nigeria. This study was done specifically on the digital prints. Materials and Methods: In this study a cross-sectional study design was adopted to determine the inheritance patterns of fingerprint and lip print among 150 families in the study population. The inheritance patterns of these traits were compared to each other. Convenient sample method was used. Generally statistical analysis was performed using XLSTAT (Addinsoft Version 2015.4.01.21575). Chi-square analysis was used to analyse association, trends and distribution difference of the traits (confidence level at 95%). Results and Discussions: The expressivity of the one fingerprint pattern over the other was tested using adjusted Mendelian Chi-square analysis. It was expected that if a trait is dominant over the other it will not have a distribution result that is different from the critical chi-square value of 3.841. Thus, indicating insignificance. Traits with mathematically similar pattern of distribution to that postulated by Mendel will be considered the dominant trait irrespective of its distribution. When the inheritance of the various traits was compared on the assumption of independent existence and dominant-recessive expressivity using the Mendel mathematical model, it was observed that Arch was dominant over Loop and whorl. While loop influenced Whorl in an incomplete fashion. The findings from the study suggest that the finger print pattern is tri-allelic non-codominant with a phenotypic expression of reduced penetrance. Conclusion: This suggests that the finger print pattern is tri-allelic non-codominant with a phenotypic expression of reduced penetrance

Objective: The purpose of this study was to identify the frequency, type and location of dental anomalies accidentally detected in children attending pediatric dentistry clinics. Materials and Methods: A retrospective cross sectional study based on collecting diagnostic records: panoramic radiographs, medical and dental histories of patients during a one-year period (from September 2013 to September 2014). Records were evaluated by two calibrated examiners for the following developmental dental anomalies; Number (Supernumerary Teeth, Hypodontia), size (Macrodontia, Microdontia), position (transposition, impaction), shape (Fusion, Taurodontism, Dilaceration, Dwarfed root, Hypercemntosis, Dense Invaginatus, Dense Evaginatus, Talon cusp, Enamel pearls), Acquired pathological conditions (External resorption, Hypercementosis). Descriptive statistics were performed for the data. Results: A total of 1311 records met the inclusion criteria, 682 were males (52 %) and 629 were females (48%) of age range from 6 to 20 years. The frequency of developmental dental anomalies detected was 29.8% and the highest at age of 14 (9.1%). The distribution of dental anomalies had no significant difference between genders. The most prevalent dental anomaly was Hypodontia (9.7%) followed by canine impaction (9%), Dilaceration (7.1%) and other teeth impaction (3.2%) (except the 3rd molar). The occurrence of Fusion, Dwarfed root and Odontoma were less frequent than other dental anomalies with percentage of 0.1%. Conclusions: Most of the dental anomalies present in childhood. Dental examination with radiographic screening of developmental dental anomalies in early childhood should be emphasized as part of routine dental care to allow early detection, intervention and eventually an appropriate management.

Clavicle fractures were considered non-troubling entity in the past. Majority of mid-shaft fractures used to be treated conservatively and many studies reported relatively good results. However, more recent studies have reported poor results following conservative treatment regarding non-union, disabilities and cosmetic reasons. The results of operative treatment improved considerably with the introduction of better implants and awareness regarding disability. The aim of this study was to compare the results of closed versus operative treatment. Methods: Total of 80 patients with displaced midshaft clavicle fractures in two groups of 40 each in conservative and operative groups were compared. Mean age was 30 years range from 18 years to 60 years. All patients in the conservative group were treated using a figure of eight bandages with an arm sling, and in the operative group, curved locking plate was used. All patients were evaluated clinically and radiologically at three weeks, six weeks and after three months of treatment respectively. All patients were followed up for 3 months following the treatment. The outcome was rated using DASH score and Constant Moor scores. Results: The mean fracture union time was significantly lower in the operative group (14.4 weeks) as compared to the conservative group (24.2 weeks). The difference is statistically significant (p<0.05). DASH score and Constant Moore score were significantly better in the operative group. They were 94.2 and 96.4 in operative and 78.2 and 84.4 in conservative group respectively. Conclusion: Within the limitations of the present study it can be concluded that by the operative treatment, fractures of clavicle have improved outcomes in terms of short union time, anatomical restoration of shape and length, early mobilization and fast rehabilitation as compared to conservative treatment in our follow up. Primary fixation of fracture clavicle is of immense importance while treating young, active and persons involved in sports.

Elastic nanocomposite (SBR-Nano carbon black) was combined by the emulsion polymerization strategy. Elastic nanocomposite syntheses have been resolved based on their micro investigation. FTIR and Raman spectra were concentrated to illustrate the structure. The surface morphology of the copolymer gum was inspected by checking scanning electron microscopy and it sets up the change state among crystalline and formless nature. Morphology is also inspected by using transmission electron microscopy. Ozone obstruction was concentrated to explain occasional perceptions of the surface of the examples were made for break commencement. Tests were uncovered for a longer time. Flame obstruction was concentrated on measures the simplicity of termination of a flame and four appraisals are conceivable, contingent on the consuming time and the nearness of flaming drips. SBR-carbon black nanocomposites at 2 phr, 6 phr, 10 phr, and 12 phr wt% nano carbon black stacking indicates fairly enhanced combustibility property than its gum. The present investigation including the emulsion polymerization technique where the environmental performance of elastic nanocomposites is observed to be great.

Coronary artery diseases manifest in different forms. The pathophysiology of coronary artery diseases are complex in origin and mechanism. There are several factors involved and are contributing together for the atherosclerotic event and its complications. The plaque formation and plaque rupture are the two crucial events which may lead to acute myocardial infarction, one of the manifestations of coronary artery diseases. The matrix are involved from the very beginning of the formation of plaque via collagen formation and deposition of lipid particles in the plaque by transforming the smooth muscle cells. An equally crucial event is the plaque rupture, which occurs by the action of matrix degrading metalloproteinases on fibrous plaque leading to extracellular matrix changes subjected to thrombus formation and subsequently to infarction