Abstract: Schwannoma is a tumor developed at the expense of Schwann cells. It is a very rare tumor both by its frequency and its retroperitoneal location. Varied presentation and difficult preoperative diagnosis. Although the vast majority of schwannomas are benign, there are malignant forms frequently associated with Von Recklinghausen's syndrome. Its diagnosis is histological and its surgical treatment consists of a complete excision of the mass due to a tumor degenerative risk. We report a case of a 59-year-old patient, followed for chronic pelvic pain associated with digestive signs, ultrasonography and scanner showed a pelvic retroperitoneal mass of 8x6 cm long axis. Exeresis was performed by laparotomy. The histological and immunological study concluded to a benign schwannoma. The clinical and paraclinical evolution over 5 years did not show local or distant recurrence. Through a review of the literature we recall the frequency, diagnosis, imaging data, treatment and evolution of this rare tumor.

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.

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.

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.

The key digital marketing processes help businesses successfully complete their mission. These include: identification of the opportunity, development of new products / services, customer attraction, customer retention, promotion of loyalty, order fulfillment, feedback and satisfaction rating. These several aspects help to establish long-term contact with the client, which is perhaps the most important component of the business. But even with a loyal customer base, it's important to keep in mind that it is necessary to ensure the quality, innovation, and the necessity of goods and services, so that both parties are maximally satisfied. In this context, we should not forget the four most important digital marketing pillars: site content, digital advertising, mobile devices and social networking opportunities.The article analyze digital marketing concept, digital marketing tools and digital marketing strategy.

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.

Nowadays, domestic business actors should be able to prepare themselves and have a good strategy in producing quality products and have a wide marketing network, so that the market or consumer can accept the products, so that small industry business can increase family income. Starting from the survey conducted by the researchers, there are several household industries, in Deli Serdang District, especially in Percut Sei Tuan District, where business actors manage their business with a simple, but the resulting product has a chance to be liked by the community. Therefore it is necessary that a good strategy for the perpetrators of home industry can survive and expand its industrial network. This study aims to make household industry business can compete and can increase family income, therefore need to do strategy. Looking at the problems faced by domestic business actors can do strategy. The problems in the household industry are raw materials, capital, human resources (labor) and marketing. The object of this research is a light snack business entrepreneur in District Percut Sei Tuan Deli Serdang Regency. To increase the family income, the domestic industry needs a better business management solution. So the second year research needs to be done: 1) better management of business model of home industry by adding supporting variable that is technology and partnership. 2) Compilation of model of business development of home industry, pilot development of business model of home industry, 3) socialization and implementation.

The Aims and objectives of the study are toprovide a standard for good laboratory practice, to increase the clinical effectiveness, patient safety and operational efficiency and designing better and more evidence-based systems for the timely notification of laboratory results which represent potentially hazardous to the patient.This concept was introduced 46 years ago by Lundberg. It is a result, indicating that patient is in imminent danger unless therapy is initiated immediately. A prospective cross-sectional study was done at ASRAMS, a 1000 bedded hospital at Eluru, from July 2017 to June 2018 for a period of 12 months. The laboratory performed 2,22,574 tests in haematology and 2,92,055 tests in clinical pathology. The preparation and approval of critical alert value list was done in consultation with our hospital board and clinician’s panel. During a one year period of study, a total of 7148 critical values were reported. 45.32% of critical alert values belong to inpatient, 48.9% to outpatient and 5.8% to emergency department.We finally Conclude that it is crucial for patient safety, Effective use of the available resources, Creates professional responsibility and Regular quality assurance, meeting with technical staff and strict vigilance are key reasons for low figures in our setting.

Higher education in Africa is under-developed and has been a low priority for the past two decades. Access to higher education for the relevant age group remains at 5%, the lowest regional average in the world, just one-fifth of the global average of about 25%. Women are underrepresented in higher education, in particular in the science and technology fields. In regards to quality, not a single Western and Central African university features in the rankings of the world’s best 500 academic institutions. These challenges can be attributed to a multiplicity of factors. According to this paper funding the funding is at the centre of all these challenges.

Computer keyboards can contribute to the spread of microorganisms, mainly when shared by multiple users. Evaluate bacterial and fungal contamination in shared computers keyboards used in a University and propose preventing measures. This research has an investigative, descriptive and transversal design. Keyboards from 60 computers of collective use were randomly selected. Surface samples were collected with sterile swabs and moistened in 0.9% NaCl solution. The swabs were rubbed against the surface of the keyboards and then stored in Stuart's transport medium and sent to the Bacteriology Research Laboratory of the Souza Marques Medicine School. The material was seeded in the culture medias blood agar, hypertonic-mannitol-agar, Sabouraud-dextrose-agar and Micosel. Bacterial colonies were identified through morphotinorial characters, biological and biochemical tests. Yeasturiform fungi were identified by biochemical tests and the filamentous fungi through morphotinorial and cultural characters. From the 60 examined samples, 10 different bacteria species were isolated: Bacillusspp 18 (30%), Enterococcusspp 5 (8.33%), Streptococcus alfahaemolyticus 8 (13.33%), Escherichia coli 4 (67%), Klebsiellaspp 2 (3.33%), Enterobacterspp 6 (10%), Proteusspp 1 (1.67%), Neisseria spp 3 (4%), Staphylococcus aureus 5 (8.33%), Coagulase negative Staphylococcus 32 (53.3%). Isolated fungi: Candida albicans 3 (5%), Penicilliumspp 15 (25%), Aspergillusniger 8 (13,33%), Aspergillusfumigatus 2 (3,33%), Alternariaspp 4 (6,67%), Epidermophytonfloccosum 2 (3.33%), Fusariumspp 7 (11.67%), Rhodotorulaspp 10 (16.67%). The keyboards of the shared computers were contaminated with fungal and bacterial elements, and among them E.coli, evidence of faecal contamination. This contamination occurs due to the high turnover of users with different hygiene habits. Thus, a hygiene protocol is required to minimize contamination of computer’s keyboards.

The importance of postsecondary education has increased significantly in the last decade. A high school diploma is no longer sufficient in the 21st century. In order to be successful in today’s global economy a person must receive some form of postsecondary education. The economic stability of the state is tied to citizens who are employed and productive. In a constrained fiscal environment, policymakers also will need to consider whether there are better means of achieving shared goals, including student access and support for research. Such approaches could entail more coordination, other funding mechanisms, or policy reforms. In addition, it will be necessary to think about the implications of parity and whether funding strategies will require changes in order to reach desired outcomes. This paper is intended to provide a starting point for illustrating the various methods of funding higher education for improved performance of institutions.

It has been discerning that in approximately 2% of the population one or both the maxillary lateral incisors are congenitally missing. To achieve an optimal aesthetic for missing lateral incisor has been very challenging for a clinician. It is often necessary to establish a harmonious, interdisciplinary approach. There are various treatment options for replacing the missing maxillary lateral incisor, including canine substitution, three unit fixed partial denture or single-tooth dental implant. Dental implants are an appropriate treatment option for replacing missing maxillary lateral incisor teeth in adolescents when their dental and skeletal development is complete. In the present case report, the dental implant with angled abutment was planned as a definitive treatment option for a patient with congenitally missing maxillary lateral incisors.

Currently there is an obstacle in terms of internet access connectivity that occurs in Indonesia, especially for users of sea transportation. Very often we find a situation where when a passenger of a ship is in the middle of a trip, the connectivity of internet access cannot be used when in the middle of the sea. In fact, with the existence of the Sea Toll Program by the Government of Indonesia which was launched in 2015 which has an impact on the addition of the total ships prepared, the number of passengers is increasing year by year due to the opening of access via these ships to the destination island. By looking at this phenomenon, PT. Telekomunikasi Indonesia together with PT. Pelni Indonesia cooperates as a form of synergy between SOEs. The collaboration is to provide telecommunications networks and internet access in all ferry vessels owned by PT. Pelni Indonesia and use retail sales system for Coconnet product vouchers in retail to all passengers of a ship. n the beginning of 2017, Telkom Group launched a new product called Coconnet (Connectivity Of Internet), a product that is a Prepaid Internet Voucher that can be used to meet the need for communication and internet networks for passengers and crew when they are in the middle of the sea . The presence of these products is a solution for passengers and crew when experiencing difficulties and obstacles in communicating on board because there is no communication network in the middle of the sea. Therefore, to maximize the new product launched by Telkom, namely Coconnet, it is very important for telecommunication companies to have a marketing strategy so that they can predict which telecommunication products can be used and estimate the extent of the success of the Coconnet products that have been issued. With a good strategy supported by the tools used to measure product success, the industry and companies can focus on improving the right factors for products that have been produced so that they can produce the right products to answer customer needs and can continue to maintain success in the Indonesian telecommunications market.

This study sought to establish the influence of principal‟s leadership styles on teachers‟ professional commitment in Kericho Sub-county, Kenya. Specifically the study was to establish the influence of Principals‟ Autocratic Leadership style on Teachers‟ Professional Commitment in public secondary schools in Kericho Subcounty. This research was informed by the situational leadership theory and descriptive research design was adopted to guide the study. The sub-county has 31 public secondary schools. In the 31 schools there are a total of 31 principals, 155 Heads of Departments and 400 Teachers. All the 31 principals were selected to participate in the study because the sub county has recorded a decline in KCSE performance in the last two years. Five (5) HODS‟ in charge of academics from each school were purposively selected because of their special complementary roles in the leadership and management of schools. Simple random sampling was used to select five subject teachers in each school, one from each academic department to participate in the study; also 3 sub county quality assurance and standards officers‟ were selected. Therefore a total of 344 respondents comprising of 31 principals, 155 HOD‟s, 155 subject teachers and 3 SCQASOs constituted the total sample size. Data was collected using questionnaires which were administered to principals, HODs and subject teachers while interview schedules were used to guide discussions with the SCQASOs. Validity of the instrument was determined by the supervisors, lecturers in the department of Education Kisii University. For reliability, a test re-test of the findings was calculated and a Pearson‟s correlation coefficient of 0.856 was obtained. Data was analyzed using descriptive statistics with aid of Statistical Packages for Social Sciences (SPSS) computer program while the results from interviews were analyzed qualitatively and thematically. Results presented in Table 3 reveal that over half, 16 (58.8%) of the Principals were of the opinion that they do not use autocratic leadership style. However a significant proportion, 11 (41.2%) indicated that they used it. Results further show that three quarters of the HODs, 104 (76.5%) were also of the opinion that autocratic leadership was not being used, and only one quarter, 32 (23.5%) thought that autocratic leadership is used.The study recommended that principals should be in serviced on modern leadership styles such as situational and transformative. The researcher paid keen attention to research ethical issues and got the informed consent of the respondents and guarded against plagiarism and ensured confidentiality.

The purpose of the study was to examine the effect of globalization on the monetary policies in enhancing small and medium enterprises in Nigeria; the specific objectives include to; examine the effect of globalization on the inflation rates in enhancing SMEs and examine the effect of globalization on the exchange rate in enhancing SMEs. The study had a population of 257 employees drawn from among selected manufacturing firms in Enugu State. The sample size of 117 was drawn using Freud and Williams formula at 5 percent error margin. A survey design was adopted for the study. The instrument used for data collection was the questionnaire. A total of 117 copies of the questionnaire were distributed while 112 were returned. Two hypotheses were tested using regression, and with the aid of the Statistical Package for Social Science (SPSS).The findings indicate that Globalization has negative effect on the inflation rates in enhancing small and Medium Enterprises hence negative in its absence t(95, n = 117) =-1.685, p <0.05, enhancing Small and Medium Enterprises is negative in the absence of globalization t(95, n = 117) = -0.813,, p < 0.05. The study concludes that Globalization affects how governments throughout the world create policies affecting areas such as financial regulation and trade. The study recommended that the Nigerian government, as well as the government of other developing economies, must invest substantially to the growth, development, and sustainability of SMEs through the provision of essential infrastructures, human resources, microfinance, security and adequate policy framework.