The Indian Diasporas in Gulf countries contributing the development of building of remittances. The migrants are not contributing into development of economy of India but also grass root level comprises to community and households level. In these consequences, present paper explored the role of Indian migrants in the development of community and their households at root. They remitted individual remittances to their households as well as their community at root which led to the demonstration impact of migration in the sample rural areas of Lucknow district. These phenomena created to the culture of migration from rural areas to Gulf countries.

According to WHO estimates, 16.7 million people around the globe die of cardiovascular disease each year. Economic transition, urbanization, industrialization and globalization bring about life style changes that promote heart disease. High blood pressure, high cholesterol and obesity are likely to become more prevalent in developing countries. Increased energy intake and sedentary lifestyle are also responsible for heart disease. The presence of one or more cardiovascular risk factors like high levels of TC, LDL, TG, glucose, insulin, BMI and a decreased HDL have been found to increase the progression of prehypertension to hypertension. Prehypertension increases the risk of MI and CAD. The present study was undertaken to know serum HDL changes in prepubertal and postmenopausal women. Life style patterns like diet, physical activity were included in study. Total 60 Subjects of age group 8-10Years (prepubertal), 46-55years (postmenopausal) female volunteered for our study. During the study period, BMI, HDL, dietaty intake and physical activity and parameters were recorded in all the subjects. HDL is gradually decreased from pre pubertal to post menopausal women. We concluded the presence of Cardio protective HDL is normally higher in prepubertal females. Lower levels of HDL increases CVD risk. This can be attributed mainly to sedentary life style, stress and dietary habits this is seen in post menopausal women.

Aim: The aim of the study was to evaluate the hemodynamic effects of radio-contrast media i.e Iohexol and Diatrizoate Sodium in patients visiting the Radiology department for CT scan. Methodology: It was an observational study, conducted at Mahatma Gandhi Hospital Jodhpur (Rajasthan). Pulse rate and blood pressure were measured three to five times, before administration of Iohexol or Diatrizoate Sodium, after 5 min and 1 hr after administration of Iohexol and after 1 hr and 2 hr starting of administration of Diatrizoate Sodium. Results: 5 minutes post-Iohexol administration increased in SBP was observed in 66.66% and decreased SBP observed in 21% participants. While 58.66% participant’s DBP decreased and 37.33% participant’s DBP increased. 1 hr post-Iohexol administration in 44% individuals recorded fall in SBP and in 56% individuals recorded rise in SBP compare to the pre-Iohexol administration. 1-hour post-Iohexol administration, in 60% participants recorded decreased DBP and in 32% participant recorded rise in DBP. In 65.33% cases, PR increased within 5 minutes after Iohexol administration while 81.33% participant’s PR was increased, 1 hr post-Iohexol administration. After 1 hr starting of Diatrizoate Sodium administration, decrease in SBP was recorded in 38.46% and increased in SBP recorded in 46.15% participants while incidence of decreased in DBP was in 38.46% cases and increased DBP was observed in 23.07% cases. 2 hr post Diatrizoate Sodium administration in 57.69% participants increased in PR observed. Conclusion: Post Iohexol administration SBP and PR were increased but DBP decreased. But these were clinically insignificant fall or rise in BP or PR except increased in PR 1 hr post-Iohexol compare to pre-Iohexol which was clinically highly significant. Post-Diatrizoate Sodium administration SBP and DBP were decreased whereas PR was increased compared to pre-Diatrizoate Sodium but this fall in BP and rise in PR is clinically insignificant

Good corporate governance (CG) practices reduce risks for investors and attract foreign investment. Corporate financial reports must be credible and reliable, relevant to enable investors to make sound financial decisions. High quality auditing contributes to investor confidence and for corporations to raise funds. In view of the critical importance of foreign investment flows for Libya‟s economic growth. This paper presents the findings of a study which examined the relationship between audit service quality, CG practices and foreign investor confidence in the Libyan banking sector. Data was collected from a literature review and a web survey, and analysis through the use of descriptive statistics revealed that good CG practices and quality audit services are positively associated with foreign investor confidence in the Libyan banking sector.

The thyroid gland is an important endocrine gland in human body. The organogenesis of thyroid gland is often disturbed leading to variety of morphological variations. The position, size of isthmus, posterior relations may vary greatly. Hence a descriptive cross sectional cadaveric study was conducted in western maharashtra population in india. The study was conducted on total of 60 thyroid glands (male-34, female-26) collected during routine dissection from adult cadavers in the anatomy department, B.J.Govt medical college, Pune. Presence or absence of isthmus, its dimentions, and posterior relations with tracheal rings were noted. Absence of isthmus was noted in total 5 cadavers, incidence is 8.33% , 3 in male cadavers ( 8.82%) and 2 in female cadavers (7.69%). Average length, breadth, thickness of isthmus was 16.1 mm, 16.53 mm, 3.24mm respectively. In maximum 13 out of 60 cadavers (21.66%) isthmus was anterior to tracheal rings 1,2,3 , in 10 cases (16.66% ) - tracheal rings 1,2,3,4. About 8 cases (13.33%) anterior to 2nd, 3rd tracheal ring. A wide variation was seen in the position of isthmus, as high as cricoid cartilage to as low as 8th tracheal ring. The size of isthmus was also varying related to only 1st tracheal ring and related to 1st to 8th tracheal rings. From the study it is evident that detail knowledge of the thyroid isthmus anatomy and its variations is necessary for surgeons and physicians to avoid undue complications during tracheostomies and in evaluation of scintigraphy.

Vilazodone is a serotonin transporter (SERT) and a partial agonist of HT1A. It has been approved by food and drug administration of United States (US FDA) for the treatment of major depressive disorder (MDD) in adults. This agent is considered as a new class of drug “serotonin partial agonist and reuptake inhibitor (SPARI)” by the World Health Organization (WHO). The authors planned to review the drug by using the key word of “vilazodone” on different data base and synthesize a working theory regarding the mechanism of selective serotonin reuptake inhibitor (SSRI) mediated serotonergic neurotransmision. The review also focuses on 5-HT1A autoreceptors. Due to its novel mechanism of action, initially it gave hope to the clinicians and researchers as majority of depressive patients are partial responders or treatment resistant to previously available antidepressants. But later research works suggested that the vilazodone is not much different than the drug available in market. Its side effects were found to be lower than other antidepressant but higher than placebo. It can be concluded that more comparative research between vilazodone and other antidepressant is required in making better opinion about this drug

To provide satisfactory dental treatment in almost any child is not less than a challenge. Children with disabilities require more attention and care to achieve the desired outcome. To enhance the efficiency of dental treatment, measures are needed to be taken to minimize and ideally eliminate dental anxiety and/or fear among children. To the best of our knowledge, it is very evident in the available literature that sensory adaptive environment facilitates a great deal in decreasing dental anxiety, and enhances child cooperation towards treatment. Conversely, in context of Saudi Arabia, we noticed that in general population almost no one knows about it, as per our experience even majority of dentists were unfamiliar about sensory adaptation environment in the dental setting. Keeping an eye on severe difficulties in managing a child with disability, and evident efficiency of sensory adaption environment in reducing anxiety we recommend its use in government dental hospitals and clinics.

Aim: To investigate the potential capacity of limbal mesenchymal stem cells (MSCs) incorporated in fibrin glue as cell delivery system in modulating wound healing after trabeculectomy. Methods: Limbal MSCs were obtained from rabbit corneoscleral tissue. MSCs adhesion on fibrin glue derived from the mixture of fibrinogen and thrombin in concentration 1:1 and 1: 0.5 were observed 2 hours after cells seeding. Cell proliferation was assayed by modified tetrazolium method (MTT assay) on day 3. Cells adhesion and viability were analyzed using independent t test (SPSS 19 version). Preliminary study in animal model was conducted in 6 rabbit eyes to observe the role of fibrin glue as cell delivery system. MSCs were labelled using PKH26 prior to subconjunctival transplantation following common trabeculectomy procedure on rabbit eyes. Two eyes were enucleated on day 7, 14, and 21 to obtain conjunctival tissue of trabeculectomy site. Frozen sectioned specimen of conjunctival tissue was observed under fluorescence microscope to analyze cells engraftment and survival. Results: Isolated cells from corneoscleral tissue showed MSCs as they were positive for CD73,CD90,CD105, and negative for CD45. There were no significant differences of cells adhesion (p=0.3) and viability (p=0.2) between fibrin glue composed of fibrinogen:thrombin 1:1 and 1:0.5. Cells engraftment and survival were observed during experimental periods on day 7,14, and 21. Cells began to migrate on day 21 as the time of fibrin glue degradation. Combined MSCs and fibrin glue may facilitate wound healing modulation after trabeculectomy. MSCs may release antifibrosis factors slowly as gradual degradation of fibrin glue. Moreover, fibrin glue properties may promote cells engraftment and survival. Conclusion: Combination of fibrin glue and MSCs may be an alternative for modulating wound healing after trabeculectomy

The Adenomatoid Odontogenic Tumor (AOT) represents 3% to 7% of all odontogenic tumors and is generally considered to be an uncommon tumor which occurs mostly in association with an unerupted maxillary cuspid. Some investigators consider it as a benign neoplasm, while others categorize it as a hamartomatous malformation due to limited size and lack of recurrence in most cases. Although AOT was formerly considered to be a variant of ameloblastoma and was designated as ‘adenoameloblastoma’, its clinical and biologic behaviour indicates that it is a separate entity. This manuscript describes a rare case of huge Adenomatoid odontogenic tumor occurring in the posterior mandible of a 20 year old male patient.

The diversification of rural activities by rural women in a bid to sustain rural households‟ livelihoods cannot be undermined. Although the rural woman, through the diversification of rural activities strives to sustain household‟s livelihood, demographic elements influence her struggle. The objective of this paper is to identify and assess such demographic aspects affecting the rural woman in Bui Division. In order to attain this set objective, a literature review in relation to the topic was carried out. This was followed by data collection from the field; it comprised of on-the-spot / participant observations, interviews and usage of questionnaires. Our respondents were 749 rural women (20 years of age and above). The results show that though, age is an important factor that influences the choice and how the diversification of rural activities is undertaken by the rural woman as evident in the field, it is apparent that „age‟ as a demographic factor does not negatively influence the rural woman‟s diversification of rural activities aim at sustaining households‟ livelihoods. About 45% of rural women who only had informal education could not effectively sustain their households‟ livelihoods by diversifying rural activities because they could neither read, write nor understand. Rural women who are unmarried and divorced negatively influence the diversification of rural activities for sustaining households‟ livelihoods as compared to married women. It has also been revealed that rural women with „large‟ size households effectively carry out diversification for sustaining livelihoods than those with „small‟ size households.

The use of Honey in the medical field as a treatment for various illnesses has been in practice in the Islamic world since the revelation of the Quran and specifically the following verse. "There comes forth from their (bees') bellies, a drink of varying color wherein is healing for mankind" (El-Nahl 16:69). The old Islamic scholars and physicians classified illnesses and medications as cold and hot, and they described using the cold medications to treat the hot illnesses (for example cooling the head of a feverish patient or a swollen bruised hand) and using hot medications to treat cold illnesses (like drinking warm water to treat a cough). And Honey was classified as one of the Hot Medications [15]. Many contemporary studies tried to prove the healing properties of some kinds of Honey; some have claimed antibacterial, antioxidant and even Cell-regeneration properties from Honey [4]. Most of these studies were done in Vitro [10]. The study that I have conducted was done on actual patients who suffered from chronic wounds, they have sustained these wounds during the civil war in Libya, after their injuries there they were transported to several hospitals in Tunisia and Italy and finally in Germany. These deferent transportations and deferent hospital stays have made their bodies and wounds invested with a plethora of multidrug resistance organisms, the dominant being methicillin resistant staph aureus (MRSA). During the first 6 months of their stay in the Isolation ward of the Orthopedic department of the Hospital, they were not under my care, there wound healing had shown no much improvement despite daily dressing with the latest wound dressing available in the market and using daily wound disinfectants and body washing. When I was assigned to those patients, I started treating their wounds with Honey, after their consent and the agreement from my Chef. The Results were astounding, in a couple of weeks their wounds were healed. I have documented the process and here are my Methods and Results.

Pulmonary function values are influenced by race, age, sex, height, weight, waist, hip circumference as well as environmental, genetic, socioeconomic parameter. The development of pulmonary function and growth of physical parameters are coexistent. Measurement of lung function is essential for evaluation of physical development of children and adolescents. The present work was undertaken to evaluate pulmonary function in normal healthy school children of age group 13-19 years having different body mass index. The study was conducted over 300 students (13-19 years.), 155 male subjects and 145 female subjects. Pulmonary function parameters FVC, FEV1, FEV1%, FEF25-75%, PEFR, MVV, were measured by medspiror. BMI was calculated of all subjects by measuring height and weight. BMI was classified into various groups. It was found that 262 subjects had low BMI and were underweight, PFT parameters were low in these subjects as compared to subjects having normal BMI. Early identification of risk individuals prior to onset of disease is imperative in our developing country. It is necessary to have a good physical activity and proper nutrition in young individuals to avoid future respiratory problems.

Background: Asthma affects around 300 million people worldwide [1]. Asthma is characterized by chronic airway inflammation. The current treatment regimen is low dose inhaled corticosteroids plus long – acting beta agonist (LABA). Effective control is achieved by taking inhaled medication in proper technique which lead to effective drug deposition in lung. Compliance with inhaled respiratory medications is 40-50%. Low value of 15% also reported [7]. Objective: Determination of compliance towards inhaled medication in asthma patients one year after being prescribed and factors influencing patient’s compliance to inhaled medication in asthma. Methodology: Compliance to inhaled medication assessed by standard set of questionnaires in 260 Asthma patient who were above 18 years from both sex taking inhaled medication for one year. Patient who attended pulmonary Medicine OPD from March 2016 to March 2017 were assessed. Results and Discussion: Mean age of the patient was 57.67 years. 65% of the patients were female. Among the 260 patients, 40% of the patients were having elementary school education. Percentage of patients using inhaler regularly is 26.6%. Percentage of patients trained to use inhaler properly is 23.9%. Good technique of using inhalers has significant association with proper training to use inhalers (P value – 0.0001) and also with proper counselling. (P value – 0.0001). There is also significant association between counselling regarding use of inhalers and its regular usage. Conclusion: Factors affecting the patient’s compliance to inhaled medication is proper counselling regarding the use of inhalers and proper training to use inhaler. Compliance can be improved by providing adequate knowledge about disease and its control, teaching the patients about correct technique of using inhaled medications

Blood transfusion is a life-saving procedure for millions in current medical and surgical practices. However it also has the risk of transmitting Transfusion Transmitted Infections (TTIs) like HIV, hepatitis B and C, syphilis, malaria etc. In India, it is mandatory to test blood units for HIV 1 and 2, hepatitis B, hepatitis C, syphilis and malaria. The whole blood and component units that are reactive should be discarded. The present study was done retrospectively from January 2016 to December 2018 (a 3 years study) in the Department of Transfusion Medicine and Immunohematology, Nizam’s institute of Medical Sciences, Hyderabad, Telangana State, India. During these three years the total donors were 55,306. Voluntary donors were 13.20 % and replacement donors were 86.80 %. A total of 148 donors were reactive for syphilis. Predominant age range reactive for syphilis was 26-35 years (66.89 %), followed by 36-45 years (19.59 %). 148 (0.27 %) donors were reactive for Syphilis. Number of replacement donors positive for syphilis were 147 whereas the number of voluntary donors positive for syphilis were only one. 142 donors were married and 6 were unmarried. All the syphilis reactive donors were males. 95 donors were from urban areas, whereas 53 were from rural areas. Increasing trend of syphilis reactivity was observed in our geographical area. Voluntary blood donations are safer than replacement. Education and public awareness programs would go a long way in suppressing these infections and thereby preventing TTIs and also wastage of precious blood units.

Introduction: Sustainability issues and initiatives are gaining emphasis to address shareholder interests and attract investment. Malaysian public listed companies (PLCs) are encouraged to adopt Integrated Reporting <IR> framework for disclosing both financial and non-financial information in their annual reports. This paper presents the findings of research on the adoption of <IR> by Malaysian PLCs. Methodology: Data was collected from 213 PLCs for the period 2010 – 2016. Based on the literature, a conceptual model was developed and tested by four hypotheses on the relationship between financial performance, strategy disclosure, governance disclosure, performance disclosure and prospects disclosure. The data was analyzed by descriptive statistics and multiple regression analysis. Results: The results indicated that the firms’ prospects (future outlook) disclosure and organizational strategy disclosure make significant contributions to the average market value of the firms. Therefore, it is important for the firms have the competences to effectively engage in the <IR> using the <IR> framework. Conclusion and Recommendations: It is recommended that the Malaysian authorities should make the <IR> mandatory and provide training on <IR>. Malaysian PLCs should provide periodic integrated reports, comply with environmentally friendly standards and implement sustainability practices to fully participate in global supply chains