Invasive Streptococcus anginosus group (SAG) infection is associated with severe infection and poor outcome particularly among malignancy and post-surgical patients. We aimed to study the clinical details and outcomes of invasive SAG infection in post-sleeve surgery and malignancy related and non-malignancy related abdominal infections. (SAG) isolates from invasive infections between January 2015 and February 2018 were collected. Clinical data from the medical records of the infected patients were obtained retrospectively and analyzed. Fourteen invasive infections caused by SAG were identified. The mean age of the patients was 40.9 (minimum; 18 years, maximum; 80 years, SD; 21.03), five females (35.7 %) and nine (64.3 %) males. The peritoneal fluid was the most common specimen (8/15; 53.3%), followed by pleural fluid (3/15; 20%), deep abscesses (2/15; 13.3%), blood (1/15; 6.7%) and ascetic fluid (1/15; 6.7 %). The most predominant specimens (73.3%) were intra-abdominal involving commonly anaerobes and Enterobacteriaceae. Six patients (6/14; 42.9 %), had SAGabdominal or pleural infection as a complication of sleeve surgery. Each four of the remaining eight patients were categorized as patients with abdominal malignancy (4/14; 28.6 %) or non-malignancy related abdominal infections (4/14; 28.6%). Ten of the cases had polymicrobial infection. All patients had eventual recovery except of two malignancy patients who died because of severe sepsis with empyema or abdominal infection. Further studies are required to delineate post-operative sleeve surgery infectious complications and malignancy related abdominal infections to provide early treatment and better outcome.

Abstract: Bladder exstrophy is an anterior midline defect. Women with bladder extrophy are fertile and able to have children without this disease. However, Patients undertaking pregnancy after surgical repair of such an anomaly are rare. Pregnancy is often complicated. We report in this work the case of a 24-year-old pregnant patient, operated at birth for bladder extrophy, presenting at 28 weeks of amenorrhea for premature rupture of membranes with uterine prolapse.

The objective of the study was to evaluate the aphrodisiac property of the aqueous extract of Prunusafricana trunk bark in albino and normal male rats of the Wistar strain. Colorimetric and precipitation methods were used to highlight secondary metabolites of the plant. The acute toxicity test was conducted according to OCDE guideline 423. Four lots of 6 animals were used to evaluate the aphrodisiac property of P. africana. The positive control received sildenafil citrate (5 mg/Kg) and the negative control, distilled water. The test lots received the extract at 100 and 200 mg/Kg for 8 days. The copulatory parameters were observed on days 1, 4 and 8. The phytochemical screening revealed the presence of flavonoids, alkaloids, tannins, saponosides and tri terpenes in the extract. No changes in the general appearance of the rats and no mortality were recorded during the toxicity test, highlighting that P. africana is nontoxic. The extract significantly increased the sex parameters of the tested rats. This aphrodisiac effect of P. africana attributed to identify secondary metabolites justifies its use in traditional medicine as a sexual stimulant.

The objective of this study is to ascertain the perception of accounting students on their learning experience as it shapes there future professional and work life. The study was an exploratory one and used one item open ended questionnaire to elicit information from the participants. Qualitative research methodology was employed in order to gain a closer insight on their learning experience of the students at the university. The data captured were subjected to attentive examination to identify consistent themes. We also highlight highly unusual or extra-ordinary data. We found deficient accounting curricula in terms of what is being taught and how it is being taught. We also found a disconnect between accounting teaching and on the job practical exposure. Accounting faculty was not at the vanguard of role modeling for the students. The problem of aging faculty was also highlighted. The study recommends, among others, a complete overhaul of University accounting curricula with particular emphasis on the internationalization of curricula. Teaching methodology should immediately come to terms with modern trends in the field even as supervision of faculty is given attention to prevent ill- motivated lecturers from exploiting their students. Our findings have policy and practical implications for NUC and the management of universities respectively.

Non-fermenters (NFs) account for about 15% of all bacterial pathogens isolated from a clinical microbiology laboratory. Primarily regarded as contaminants, they have been implicated in causing various infections. They are innately resistant to many antibiotics and emerging as important nosocomial pathogens. To isolate nonfermenters from Urinary Tract Infections and assess their clinical significance and antimicrobial sensitivity pattern.Five thousand nine hundred and thirty four (5934) nonrepetitive consecutive samples of urine from patients diagnosed of culture-proven UTI of a tertiary-care teaching hospital over a period of four-years (2014-2017) were selected. A urinary sample was subjected to presumptive screening followed by semiquantitative culture on CLED (Himedia, Mumbai) agar. Identification and antibiogram was done by Vitek 2 compact (bioMérieux, France) automated systems. Clinical history and laboratory parameters were utilized for clinical correlation.Out of 5934 samples showing significant growth 6212 (15.6%) bacterial isolates were grown, Non fermenters being in 5.6%. P. aeruginosa (55.17%)and Burkholderia cepacia (17.42%) were predominant NFs.

This research paper aims to identify the highest factor influencing the team climate inventory and explore how demographic variables (individual‘s gender, age, working experience, and Professional role which includes (Nurse, General Practitioner, Specialist Nurse, Health visitor, Hospital Manger and other allied health professionals), were significantly influencing the factors of team climate inventory. And secondly, want to investigate whether Team climate is superior in smaller teams than in bigger teams. The TCI is based on a four-factor theory of team climate for innovation. The sample would consist of a random sample of 250 health care employees including doctors, nurses, Specialist Nurses (SN), Hospital manager (HM), General Practitioner (GP), pharmacists and allied health personnel working in primary health care setting in Saudi Arabia. To assess the reliability of the TCI in healthcare teams, we calculated the internal homogeneity by calculating Cronbach‘s alpha coefficients for the scales emerging from the factor analyses.

Ecotoxicity strength of different granular domestic detergents on Enterobacter aerogenes and Pseudomonas fluorescens was evaluated to assess the response of the test organisms to different brands of domestic detergents. Standard toxicity procedures were applied using four brands of granular domestic detergents: Klin, Omo, Bonux and Ariel prepared at concentrations of 10ppm, 100ppm, 1000ppm, 10000ppm and 100000ppm; the test was carried out for 0h, 4h, 8h, 12h, and 24h for each detergent.The degree of resistance of the test organisms to the toxicants revealed Enterobacter aerogenes (4857±1685ppm) was more resistant to the domestic detergents than Pseudomonas fluorescens (117±28ppm). Mean Median lethal concentration (LC50) showed that Klin was most toxic and Bonux was least toxic with toxic flow pattern (noting that the lower the LC50 the more toxic the toxicant) as:Klin (1354ppm) > Omo (2389ppm) > Ariel (2887.47ppm) > Bonux (3316.84ppm).Results of response of individual test organism to the different brands of detergents showed that Pseudomonas fluorescens was most sensitive to Bonux and least sensitive to Ariel - Bonux (94.86ppm) > Klin (104.66ppm) > Omo (109.68ppm) > Ariel (157.40ppm))while Enterobacter aerogenes was most sensitive to Klin and least sensitive to Bonux - Klin (2603.34ppm)> Omo (4668.68ppm) > Ariel (5617.54ppm) > Bonux (6538.82ppm). This showed that test bacteria responded differently to the toxic effect of the domestic detergents in the same aquatic environment. In mixed consortium, domestic detergent Klin had the highest toxic strength (mean LC50 1354ppm); Pseudomonas fluorescens was more sensitive to all the test domestic detergents than Enterobacter aerogenes.

Student satisfaction is one of the parameters of the success of university services. Student satisfaction will greatly affect their loyalty to the university. Mercu Buana University student satisfaction can be influenced by several factors such as learning methods, lecture support facilities, and the quality of student lecture services. Based on the results of the pre-study, it can be concluded that there are still many Mercu Buana University students who were dissatisfied during their studies at Mercu Buana University. Student dissatisfaction is much influenced by service facilities, lecture methods, and lecture support facilities. Descriptive research can be obtained a description of the problem formulation regarding the satisfaction of students of the Master of Management program at Mercu Buana University campus Kranggan. Hypothesis testing research methods can answer the allegations that exist in the phenomenon of the satisfaction of students of the Master of Management program at Mercu Buana University campus Kranggan. In this study a sample of 100 university management master students from Mercu Buana Kampus Kranggan took samples. In this study, quantitative methods will be used in which to measure an object related to the phenomenon that occurs (Sugiyono, 2012). The data collection in this study was carried out by simple random sampling technique. Which is assisted by a questionnaire? As for the weighting of the Likert scale

Kidney diseases rank 3rd amongst life threatening disease, after cancer and heart disease. Anemia is an constant complication of chronic kidney disease that significantly contributes to the symtoms and complications of the disease. Aim of the study is to study the hematological manifestations ofchronic kidney disease (CKD) and to correlate the hematological abnormality with the clinical stage.182 patients with chronic kidney disease admitted in Osmania general Hospital were included in the study for a period of 2 years. Patients in various stages of the disease were studied for various hematological parameters. CKD was seen across all age groups. Increased prevalence of CKD was seen in the age group of 41 - 50 years. Majority of patients at presentation were in stage V CKD. Hypertension (47.2%) was the leading cause of CKD, followed by diabetes. Ischemic heart disease was the most common associated illness seen in CKD. The mean hemoglobin in the present study was 7.99 +/- 1.2 g/dl. The fall in mean hemoglobin had an inverse correlation with the stage of CKD. The mean RBC count was 2.73 x1012/l, with significant fall in the RBC count as the stage of CKD progressed. The mean absolute reticulocyte count also showed significant decline as the stage progressed.Chronic kidney disease is seen across all age groups with a malepreponderance. Hypertension is the most common cause of CKD. The anemia of CKD is a normocytic normochromic anemia. The fall in hemoglobin is due to low RBC count due to decreased erythropoiesis.

This paper investigated the influence of stock market activities in on the provision of infrastructure in Nigeria. In order to achieve the objectives of the study, data bordering on the activities of the stock market viz all share index, market capitalization and value of transactions and infrastructure development viz; gross fixed capital formation were collected from the CBN statistical bulletin and analysed using multiple regression analyses. The findings of the research showed that; there is a negative but significant relationship between all share index and gross fixed capital formation. There is positive and significant relationship between market capitalization and gross fixed capital formation. Finally, there is a negative non-significant relationship between value of transaction and gross fixed capital formation. Based on the findings, we conclude that the contribution of the Nigeria Stock market in infrastructure development is below expectation. It is therefore recommended that more development oriented securities be introduced into the Nigeria Stock market to help boost investment in infrastructure. More funds from institutional investors should be channeled into investment in long-term government securities to provide funding for infrastructure investments. Finally, we recommend that the activities in the Nigeria Stock market be deepened in order to foster stability in trading activities.

Primary actinomycotic infection is a rare finding in breast with very few cases been reported in male breast and it is seen to be associated with trauma to skin or any predisposing conditions like diabetes mellitus. We are reporting an unusual rare case of actinomycosis of breast in a 70 year old male patient who came with the complaints of swelling in the right breast since seven years along with pain and bloody discharge from nipple since five to six months. Clinically breast malignancy was suspected and lumpectomy was done. Histopathological study showed features of actinomycosis.

Transportation and logistics services are one of the most important links in supporting the operational and production activities of a company. Currently the logistics sector plays a vital role in the sustainability of business in Indonesia. As a country that has a large geographic and population that ranks first in Southeast Asia, the logistics sector is very potential to be developed. Without being supported by transportation and logistics activities as a support and supporting operational and production activities in a company, it will experience problems in carrying out its operational activities and production. So that the company needs to pay special attention to the company's transportation and logistics facilities so that it can support the operations and production activities properly. PT. Angkasa Pura Kargo is a subsidiary of PT. Angkasa Pura II (Persero), was established as a logistics company that can fulfill and carry out logistical activities in all Air Port in Angkasa Pura II coverage and logistics business outside Air Port. Stratregi conducted by PT. Angkasa Pura Kargo by penetrating the market in some segmentation of both infrastructure companies in the oil & gas, FMCG, Pharmacy, and construction sectors. Survey research method with quantitative descriptive statistics Quantitative research is an objective research approach, emphasizing the testing of theories through the measurement of research variables with numbers and conducting data analysis with statistical testing methods. In this study quantitative methods will be used in which to measure an object related to the phenomenon that occurs (Sugiyono, 2012). The data collection in this study was carried out by simple random sampling technique. Which is assisted by a questionnaire? As for the weighting of the Likert scale.

In Morocco, the number of people aged 60 and over has increased. This draws attention to conditions whose prevalence increases with age including chronic kidney failure and dementia. This population appears to have a higher risk of cognitive impairment. The aim of our study is to determine the prevalence of cognitive disorders in our dialyzed patients, to define the types of this decline and identify the factors associated with cognitive decline. Observational, cross-sectional study of 116 patients taking hemodialysis from El Ghassani hemodialysis center in Fez. We used the Montreal cognitive assessement test before the hemodialysis session, A Moca ≤ 24/30 indicate the presence of cognitive impairment. The Moca was abnormal in 70% of our patients. The average score was lower for women. The areas most affected were attention and short-term memory. We found a strong correlation between the decrease in the Moca score and the progression in age (p <0.001). Hypertension was correlated with a Moca score with an average score in the hypertensive population of 20 ± 5.4 (p <0.006). The relationship between cardiac disease and Moca was significant with an average score in patients with heart disease of 19 (p <0.01). Taking an erythropoiesisstimulating agents were linked to the Moca test (p <0.05). The number of sessions per week was significantly correlated with Moca (r: 0.25, p <0.005). Albumin and hemoglobinemia were correlated with the Moca score (r: 0.2, p <0.027) and (r: 0.2, p <0.02) respectively.

This study aims to determine (1) the effect of the issuance value of Sharia Bonds (Sukuk) and Rating of Sharia Bond Issuance (Sukuk) partially on Stock Returns on issuers issuing Sharia bonds (Sukuk) on the Indonesia Stock Exchange, (2) Effect of Bond Issuance Value Sharia (Sukuk) and Rating Issuance of Sharia Bonds (Sukuk) simultaneously on Stock Returns on issuers that issue sharia bonds (Sukuk) on the Indonesia Stock Exchange. The research method uses a survey method, with purposive sampling technique, the research sample obtained 15 issuances of Sharia bonds (Sukuk). Data analysis using classical assumption and multiple regression test. The results of the study: (1) The value of issuance of Sharia Bonds (Sukuk) and Rating of Sharia Bond Issuance (Sukuk) partially has no significant positive effect on Stock Returns and (2) Value of Issuance of Sharia Bonds ( Sukuk and Rating of Issuance of Sharia Bonds (Sukuk) simultaneously have no significant effect on Stock Returns.

Dengue is a viral infection that affects millions of lives each year. A rapid screening test that would detect the NS1 antigen, IgM and IgG antibodies to recombinant antigens of all the dengue viruses helps in early detection of a potentially fatal disease. SD Bioline Duo, with the lateral flow technique, was employed in 24 cases of suspected dengue fever over a one-month period in a tertiary care hospital, with 14 cases (58.33%) testing positive. It helped in timely management of the cases and prevention of further complications of the viral disease.