β-Lactam antibiotics are commonly used to treat bacterial infections. Increased use of antibiotics, particularly the third generation of cephalosporins, has been associated with the emergence of ESBL producing bacteria, most commonly in E. coli. And Klebsiella pneumonia. Infection due to ESBL producers range from uncomplicated urinary tract infection to life threatening sepsis. This study was undertaken to assess the prevalence of ESBL producing E.coli and Klebsiella isolates. Patients taking treatment in P.D.U. Hospital and Medical College, Rajkot- a tertiary care hospital in Gujarat, India, were included in study. During the half year period from July 2014 to December 2014, a total of 600 E. coli and Klebsiella isolates from various clinical specimens were included in the study. The isolated organisms of E. coli and Klebsiella were characterized for their production of ESBL. Out of 600 E. coli and Klebsiella isolate, E. coli were 224 (37.3% and Klebsiella spp. 376 (62.7%). The overall rate of production of ESBL (by phenotypic confirmatory test with double disc diffusion method) in total isolates of E. coli and Klebsiella spp. is 22.5% (135/600). The rate of production of ESBL in E. coli is 29.9% (67/224) and in Klebsiella spp. is 18.1% (68/376). ESBL producing E. coli and Klebsiella showed high prevalence in present study. Routine laboratory testing for ESBL is needed in order to optimize antibiotic management to reduce ESBL associated morbidity & mortality.

Primary immune thrombocytopenia (IT) is one of the common causes of thrombocytopenia in otherwise asymptomatic adults. Though most of the patients with IT are asymptomatic the presentation can be varied from mild petechiae to severe hemorrhage such as intracranial haemorrhage. Subconjunctival haemorrhage is an extremely rare presentation of IT. We report a 15 year old previously healthy boy presented with bilateral subconjunctival haemorrhage which was ultimately diagnosed as immune thrombocytopenia which was resistant to Steroid as well as IV Immunoglobulin therapy and managed with Rituximab successfully.

Derivatives have been around in the global market for a very long time. The evidence of characteristics of derivative contracts can even be found in the incidents that date back to the ages before Jesus Christ and in India in epic as old as Mahabharata. The first recorded instance of futures trading appears to have been occurred with Yodoya rice market in Osaka, Japan around 1650. Futures are one of the most popular derivative contracts in India as compared to traditional securities market. The stock exchanges in India have been in existence for more than a century now. Bombay Stock Exchange (BSE) is a stock exchange located in Mumbai, Maharashtra and was established in 1875. Subsequently, the National Stock Exchange (NSE) was set up in November 1992. The road for stock exchange traded derivatives contracts was cleared with the removal of prohibition of options on securities by way of amendment to Securities Laws through Securities Laws (Amendment) Ordinance, 1995. A Bill was introduced on October 28, 1999 and was converted into an Act on December 16, 1999 making way for derivatives trading in India. This study focus on the understanding the price movements and behaviours of futures market in India with special reference selected futures. The study also reveals the relationship among various future contracts of different companies.

The growth in cement demand in 2016 amounted to 60.6 million tons, which is a potential for the cement industry and the like. The average increase in cement demand in Indonesia is 3.4% per year in a volume of 2.5 million tons, according to data informed by the Ministry of Industry. Cement Mortar is a type of conventional cement substitute which is better quality and easier to use. Every building construction that uses concrete, always uses mortar, either as an adhesive, plaster, or pickle for construction. Cement Mortar potential is a market share that is a conventional cement user, of which 60 million tons of cement is needed in Indonesia, only 5% are cement mortar users. The trend of an increase in consumption of mortar types on average increased by 20%, Product supervision is due to several factors including media marketing, company promotion and brand image. 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 will take all retail parts of building materials that become direct partners of the company, while the number of retail building materials is 150 outlets. 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.

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.

Abstract: Diabetic retinopathy is the most common cause of vision loss among people with diabetes and a leading cause of blindness among working age adults, it is a serious sight threatening complication of diabetes. Hs-CRP is a marker of low-grade inflammation and its levels are raised in patients with diabetic retinopathy. The current study was undertaken in 60 subjects. 30 diabetic retinopathy patients and 30 non diabetics as normal control group. The aim of the study was to assess the serum levels of hs-CRP in diabetic retinopathy patients. hs-CRP is significantly much higher in diabetic patients with retinopathy compared to control group. TC, TG, LDL-C and VLDL-C levels where significantly elevated and HDL-C levels were significantly lower in cases when compared to controls. Hence it is concluded that the serum levels of hs-CRP appear to be useful as markers of diabetic retinopathy and provide valuable information for proper medical intervention.

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.

Marketing efficiency as a concept is strongly linked to many of the core organizational results, such as long-term growth, stability, customer satisfaction, competitive advantage, and strong market orientation. Marketing effectiveness depends on the company's goals. Due to the growing demand for marketing professionals, one needs to focus on a system where both short-term and long-term financial impact can be measured on the company's market investments. Marketing effectiveness measurement is a business process that shows the results of specific marketing decisions. The effectiveness of marketing activities should be defined as the return on the funds invested in these activities.

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.

Entrepreneurship Development leads to employment creation, growth of the economy those results to sustainable development. Youths on the other hand represents the working force of every society which can bring about economic growth and development of every nation. In order to achieve economic growth and development it becomes imperative that they must be gainfully employed, otherwise, being unemployed means that their energies will be diverted to negative practices which is crime. Even though it is generally acknowledged that social vices are global issue, however, its rate and incidence of criminality varies among youths, states and nations. It has been established by previous work done in this area that high unemployment rate in Enugu State is responsible for high rate of social vices in the state. It is in the light of this, that the role of Entrepreneurship Development as a tool for the reduction of crimes is examined. The study made use of review of literature, where various published and unpublished documents were visited. It was found out that Entrepreneurship Development does not only help to reduce social vices among youths, but also boosts the economic growth and development of nations. It further shows that, the problem of unemployment can be reduced with youths engaging in entrepreneurship practices as a means of creating employment and in turn lessen the problem of crime.

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.

Ministry of Education is determined to improve access, equity, quality, and relevance of education through better management of service delivery to all learners. Achievement in this sector will, therefore, enhance economic growth, create more employment, and guarantee sustainable development for the Kenyan people. The country therefore, has no choice but must make massive investment in science, mathematics and technology education, particularly in women; if at all the set targets will be to achieve the goals well articulated in Vision 2030.The purpose of the study was to determine the rate of flow of men and women in selected science and technology programmes in Kenyan universities is the same and to investigate alternative strategic to enhance survival rate of flow of men and women in selected science and technology programmes in Kenyan universities is the same. The theory used in this study was Liberal feminism. It is rooted in the tradition of 16th- and 17thcentury liberal philosophy, which focused on the ideals of equality and liberty. The research design used in this study is ex post facto. The study was carried out in 3 Kenyan public and 3 private universities. The data of the study was collected using questionnaires and focus group discussion. The obtained data was analyzed using Wilcoxon Mann–Whitney Test. This test is a non-parametric analog to the independent t-test and is used when one does not assume that the dependent variable is a normally distributed interval variable (one can only assume that the variable has at least ordinal. The findings indicate that lack of adequate qualified personnel remain the number one factor that hinders the full rolling out of SMT programmes besides the expensive equipment in both public and private universities. It is recommend that girls are equally good in terms of performance at the university level means gender gap can be crossed in STs related professions. A lot then needs to be done from early childhood education, through primary to secondary school level to significantly improve the number of girls transiting to university.

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.

This study was conducted to measure the outcome of the influence of country-of-origin image and product positioning on consumers attitude towards madein-Nigeria textiles in South Southern region of Nigeria. A survey design was used in gathering data needed for the research. Copies of questionnaire were self administered to a sample of four hundred (400) consumers. Descriptive statistics was used in the application of percentages and other statistical procedures. Multiple regression analysis was used to establish and measure the relationship between product extrinsic attributes and consumers‟ attitude. The results revealed that there is a significant relationship between country-of-origin image, product positioning and consumers‟ attitude towards made-in-Nigeria textiles. The study recommended that for good country of originimage to be built about Nigeria textile products, in the minds of millions of Nigerian customers; attention should be paid towards facilitating consistency in the production of durable textiles and less corruption within the production process. This will aid in improving the nation‟s economy. Above all, made-in-Nigeria textiles with unique features like; originality, outstanding, fulfillment and convincing, should be properly positioned in the minds of consumers.

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 .