The mouth is regarded as a mirror and the gateway to health. Various dental treatment modalities frequently require appointments, which are more than one in number for completion of the entire treatment program. Missed dental appointments are an issue which has been noticed for years but very little research has been conducted around it. To assess various factors responsible for missed dental appointments among the patients attending a dental college. A cross-sectional study was conducted among the patients attending various departments of the college. A sample size of 960 was calculated based on the results of the pilot study and the patients who missed their appointment at least once during their treatment procedures were included in the study. A self-structured 19 item questionnaire was used to measure various factors responsible for missing the appointment. The collected data was subjected to statistical analysis by using SPSS version 21.0. Among 960 patients, 53% were females and 46% were males. Various reasons for not attending recall were assessed in patient’s perspective and college perspective. Lack of time (63%). fear (62%) were cited to be the most common factors for not attending recall in patients perspective and inconvenient appointment timings (47%) and dissatisfaction with the reception area(44%) were cited to be the most common factor for missing the appointment in college perspective. This study concluded that patients who miss appointments cite the most common reason as lack of time, fear, lack of transportation inconvenient appointment timings. The key in dealing with the issue of missed dental appointment lies in altering patient’s psychology during the first appointment. Counselling and motivation is required to be done at first dental visit to reduce the chances of missed appointment.

Chronic Obstructive Pulmonary Disease is associated with increased inflammatory cells. Combination of long acting beta agonist and inhaled corticosteroids are standard treatment. Roflumilast targets inflammatory cells and decreases the frequency of exacerbation. This study looks at the effect of Roflumilast on inflammatory cells in sputum and inflammatory markers in the blood when used as add-on therapy in COPD patients. This observational comparative study conducted in Department of Pulmonary Medicine for 1.5 years duration. 70 COPD patients were divided into two Group A (Roflumilast + Standard treatment) and Group B (Standard treatment). Pulmonary Function Test, Sputum Eosinophil & Sputum Neutrophil, CRP were measured at baseline and after 4 months of treatment in both groups. Intergroup analysis between Group A and Group B was done at baseline and after 4 months. Mean age of patients in Group A was 64.3 years and in Group B was 61.2 years. Maximum patients were in age groups 51-60 and 61-70 years. Of total 70 patients, 60% were males and 40% females. Majority of patients in both groups had low BMI. Sputum inflammatory cells were significantly lower in Roflumilast group. Pulmonary function parameters showed significant improvement in Roflumilast treated group. There was no significant decrease in CRP when compared between two groups. Roflumilast, add-on therapy to standard treatment in COPD patients have improved lung function and decreased level of inflammatory cells in airway significantly.

To evaluate clinical performance of three different resin composites (microfilled, nanohybrid, nanofilled) polished with one-step polishing system in cervical restorations after 24 month. Thirty adult patients were selected from outpatient clinics with a total of 90 restorations (30 of each type of dental composite resin). All of the restorations were finished using fine grit finishing diamond under water-cooling to remove gross excess and polished with one-step polishing system. All restorations showed only minor changes and no differences were detected between their performance at any time period. Nanofill and nanohybrid composite resin showed a satisfactory clinical performance after 24 month as microfill composite resin.

The present study aimed to investigate role of Attitudes towards medication, subjective norms and Perceived Behavioral Control in predicting Intentions of patients to take Anti-TB medication. The sample comprised of 147 patients with pulmonary TB, recruited from Gulab Devi Chest Hospital, Lahore. Correlation Research design was used. Urdu translated version of Theory of planned behavior questionnaire was used for assessment. Results showed that, Distance to hospital and Attitude of doctors and staff negatively predicted Intentions. However, Monthly family Income, Attitudes towards medication and Subjective Norms positively predicted Intentions. Results also revealed that high and low intenders were significantly different in terms of Behavioral, Normative and Control Beliefs. Findings of the present study highlighted the importance of environmental and patient related factors influencing the decisions to take medication. These factors should be considered while developing interventions to promote future medication adherence behavior as intentions drives behavior and patients has to be motivated in order to perform the behavior.

The parasitic weed Striga hermonthica poses a serious threat to sorghum production in Northern Cameroon. To evaluate the response to S. hermonthica of 24 genotypes of rainfed sorghum and the effect of sodium carbonate on this parasite, field and pot experiments were conducted at Touboro (North Cameroon) in 2016 and 2017. In pot and in field, under striga infestation, results showed varietal responses of sorghum for the number of emerged Striga, the height of sorghum, the stem diameter, the number of leaves per plant, the panicle weight and the grain yield. Globally, Striga infestation significantly reduced the height, the stem diameter, and the number of leaves, the panicle weight and the grain yield of sorghum accessions by 28.94%, 19.54%, 17.78%, 28.24% and 44.17% respectively. Application of natural sodium carbonate salt reduced significantly the emerged Striga and the host plant damage by 74.29% and 41.94%. Under Striga infestation, sodium carbonate also increased the growth and yield sorghum accessions. Among the 24 studied genotypes, complete resistance was no recorded, but landraces LMO-LT18, LMO-LT22, KW-CP09 and LMT-21 appeared as the most resistant and tolerant to S. hermonthica. Combination of sodium carbonate with resistant and tolerant genotypes should be investigated as a major component of integrated packages to the effective control of Striga on sorghum in northern Cameroon.

Clear cell sarcoma of tendon and aponeuroses is extremely rare tumour, arises in deeper soft tissues, bound to tendons or aponeuroses. Despite histological similarity with cutaneous melanoma, it is distinct from it clinically, genetically. It is mainly seen between the ages 20 to 40 yrs and rarely occurs in children. Here we report a case of clear cell sarcoma of soft tissue arising in the left foot of a 12 year old child

To study the antibacterial activity of Tabernaemontana divaricata (Apocynaceae) secondary metabolites capped silver nanoparticles (SNPs). In the present investigation, SNPs were synthesized using an aqueous extract of T. divaricata flowers. Flower aqueous extract was mixed with 1 m M silver nitrate for the biosynthesis of nanoparticles. The antibacterial activity of SNPs was determined against various bacterial cultures including laboratory isolates using the agar well diffusion method. The SNPs showed the highest antibacterial activity against Grampositive and Gram-negative bacteria. The present study envisions on the biosynthesis of SNPs from T. divaricata plant which are emerging as antibacterial therapy in modern medical applications.

Abstract: Type 2 diabetes mellitus has become a leading cause of morbidity and mortality world over. Insulin resistance plays a key role in the development of diabetic dyslipidemia, plasma lipid abnormalities contributes to the risk for atherosclerosis and coronary heart diseases in majority of patients with type 2 diabetes. The aim of the study was to assess the serum lipid profile in type 2 DM patients without and with complications. The current study was undertaken in 90 subjects. 30 diabetics without complications (group I), 30 diabetics with complications (group II) and 30 non diabetics as normal control group (Group III). The serum total Cholesterol, Triglycerides, LDL-C and VLDL-C levels were significantly much higher in diabetic cases with complications compared to cases without complications and HDL-C levels were significantly lower in cases of both the 3groups when compared to controls. The elevation of serum total Cholesterol, Triglycerides, LDL-C and VLDL-C levels were significant in both the study groups when compared to controls. We found significantly lower levels of HDL-C in diabetic cases with complications when compared to cases without complications. The lowering is significant in both the study groups when compared to control. Hence it is concluded that the serum lipid profile levels appears to be useful to prevent the diabetic complications and provide valuable information for proper medical intervention.

Bambara nut (Voandzeia subterrenea (L.) Thouars) is a cheap source of leguminous protein with a good potential as substitute for relatively expensive animal protein, in several food products such as biscuits, particularly in developing countries. Biscuit was produced from blends of wheat flour and fermented bambara nut flour (l00:0, 90:10, 80:20, 70:30, 60:40 and 50:50) and was analysed. Proximate composition and protein content of biscuit produced from the flour mixes was higher than that produced with 100% wheat flour, while the moisture content ranged between 2.95 and 5.71%. The carbohydrate components and reducing sugar were in the ranges of 60.29 and/64.99%, and 2.74 and 4.43%, respectively. Sensory data indicated that the fermented bambara nut biscuit with up to 30% were acceptable. Thickness, diameter and spread ratio of the biscuit ranged from 230.33 -285.67mm, 29.00 - 36.67 mm and 61.70 -89.19%, respectively. Consequently, the potentials of fermented bambara nut in biscuit production was established thereby providing alternative composite flour in biscuit production.

Metacognitive awareness can improve students‟ writing proficiency. Engaging and supporting students in the writing process can increase their metacognitive awareness. One of the major factors that impede the smooth acquisition of writing intelligibility by EFL learners is the transfer of L1 linguistic elements into L2, motivation is another alarming factor that affects Arab EFL learners‟ performance and anxiety is another predicament to students‟ performance in writing. The aim of the study is to verify the relationship between metacognitive strategies and other external factors L1 transfer, motivation, and anxiety. The researcher used descriptive statistic methods and the correlation coefficient between Metacognitive Strategies and others factor. Questionnaire technique is used as a method of data collection; the study group was formed from secondary school students Al-Mazar, Irbid. Data were generated through distributing the questionnaire from twenty-two students selected purposively from Irbid secondary school, Jordan. Only students from experimental group were eligible for answering the questionnaire. The data were analyzed by using SPSS program. The results showed that there is a positive and significant correlation between metacognitive strategies and motivation, L1 transfer and anxiety. Metacognitive strategies played an important role to enhance the writing performance among students, whereas the majority reported that they enjoy the writing actives during the class by using metacognitive strategies.

This study deals with the morphological variations of suprascapular notch of dry scapula. A total of 200 human dry scapulae which were obtained from the Department of Anatomy of various medical colleges were analyzed. The variation of suprascapular notch was recorded and classified into different types. The most common type of suprascapular notch in the study was U shaped. The other shaped were V and J shaped. We also encountered ossified suprascapular ligament and complete absence of suprascapular notch. Such conditions can cause suprascapular nerve entrapment syndrome.

The investment value that has been made by South Korea in Indonesia has increased, companies in the field of textiles and shoes require more female workers than men. Workers' loyalty will have a positive impact on the workers who can be affected by the increase in employee performance in developing the company. The purpose of this study is to analyze the factors that influence the loyalty of female workers who work in Korean companies. This research method is quantitative with data collection techniques using questionnaires, interviews, and direct observation to South Korean companies in Indonesia. The statistical test used is Regression Analysis. The results of this study that work discipline affects loyalty, career development influences loyalty, work motivation affects loyalty and workload has no effect on loyalty.

This study was conducted to investigate the effect of bioferilizer (Pseudomonas fluorescens and Azotobacter chroococcum) on growth of cabbage (Brassica oleracea L. var. capitata), the experiment was carried out at the experimental farm of soil laboratory belong to Directorate of Diyala Agriculture, Iraq during 2017, the experiment included three levels of bio fertilizers 0.08, 0.14 and 0.28 g/plant, it was laid out in randomized complete block design having four treatments with four replications. The results showed a significant increase in cabbage yield in treatments that inoculated with biofertilizer. The highest increase in yield of cabbage (plant weight, head weight, total plant weight (ton\acre) and total head weight (ton\acre)) was achieved in Biofertilizer 0.14 g/plant was reached 1262.375 g, 810.025 g, 14.026 ton\acre and 9.000 ton\acre respectively followed by Biofertilizer 0.28 g/plant, 1113.125 g, 757.875 g, 12.367 ton\acre and 8.421 ton\acre respectively and Biofertilizer 0.08 g/plant, 1000 g, 700 g, 11.111 ton\acre and 7.777 ton\acre respectively as compared with control 731 g, 363g, 8.122 ton\acre and 3.883 ton\acre respectively .

T-Cash is one of the Pioneers of provider-based e-money services. Although T-Cash is declared successful, consumers are still afraid to use it Because Cultivating trust and attracting customers will save money on apps is not an easy thing. The purpose of this research is to know the result of testing the influence of information quality, security and quality of T-Cash e-money payment service application system to customer satisfaction and customer retention and partially simultaneously. This research uses AMOS Structural Equation Model (SEM) software. From the results of the data analysis can be known variable quality of information, security and application system Significantly Affect quality customer satisfaction and retention and customer satisfaction itself Significantly variable variable influences customer retention.

The objective of this study was to evaluate the anti-inflammatory and antioxidant activities of ethanolic and palm wine extract of Phragmanthera capitata stems widely used by traditional healers. Acute toxicity according to the OCDE Guideline 423 showed that the LD50 of ethanolic and palm wine extract was greater than 5000 mg/Kg body weight. Anti-inflammatory capacity was evaluated by hind paw oedema model using carrageenan-induced inflammation in rat. It has showed that palm wine and ethanolic extracts possessed a dose-dependent anti-inflammatory activity (at the first hour) with 21.47% and 41.24%, respectively, as a percentage inhibition for the 200 and 300 mg/Kg body weight of palm wine extract and 16.95% and 28.21% for the ethanolic extract of same dose as compared with 25.42% for aspirin. The phenol dosage by the Folin-Ciocalteu method showed that ethanolic extract (14420 mg EAA/g dry extract) had a high content relative to the palm wine extract (2570 mg EAA/g of dry extract ). The antioxidant capacity was evaluated by the diphenyl-picryl test (DPPH), where the ethanolic extract showed strong antioxidant activity with a EC50 of 0.0085 mg/mL when that of the wine extract was 0.049 mg/mL, after the ascorbic acid (standard) with 0.033 mg/mL. Ethanolic and palm wine extract of Phragmanthera capitata stems are non-toxic and have inflammatory and antioxidant activity that could justify its traditional use.