Surgical resection of gall bladder is a common surgery and the most common indication for it, is inflammation. Incidental diagnosis of malignancy in such specimens changes the entire perspective of future management for the patient as gall bladder carcinoma is a malignancy with poor prognosis and high fatality. The aim of the study is to study the clinicopathological to study the clinic pathological correlation of the cholecystectomy specimens received in our pathology laboratory. This was a retrospective study over a period of 2 years from June 2015 to May 2017. The case reports were reviewed and data collected. The age and sex incidence, the presenting complaint with duration, the investigations done, the clinical diagnosis and histological diagnosis were analysed. A total of 200 cases of gall bladder were received in the lab during the study period. About 65% were women and the age group commonly involved was 40 to 60yrs. The most common presenting symptom was right upper quadrant pain. The clinical diagnosis correlated with the histopathological diagnosis in 99% of patients while it was different in two cases (1%). Both the cases were adenocarcinoma of gall bladder diagnosed incidentally during histopathological examination. Though the two patients had had CT done preoperatively, gall bladder malignancy was diagnosed histopathologically only. This stresses the importance of meticulous examination of gall bladder specimens and the importance of examining the surgically resected margins of the gall bladders.

This study intends to examine the relationship and impact between servant leadership and organizational commitment in the context of bank employees. Moreover, it intends to discover the differences between bank employees who are working in the local and foreign banks in the Northern Region of Malaysia. Questionnaires had been distributed among bankers in local and foreign banks in the states of the Northern States of Malaysia, namely Penang, Perak, and Kedah. Almost 300 questionnaires were distributed. This paper adapted servant leadership instrument from Van Dierendonck and Nuijten. Furthermore, the organizational commitment had been adopted from Meyer and Allen. The study provide a better understanding of the right leadership in fostering employees commitment, improve the leader-follower relationship and allow more leaders to realize the benefits of using servant leadership in increasing their relationship with their subordinates, influencing the subordinates’ positive job behavior as well as increasing their subordinates’ satisfaction and commitment with their job, department, and organization. Furthermore, this study urges the human resource department to conduct proper leadership training to their employees to promote new ideas toward servant leadership to improve the leadership skills among bank employees that may lead to rising up their organizational commitment.

Using descriptive research design, this study aimed to evaluate the experiences of Vocational Technological Education (VTE) teachers regarding the adequacy of the tools and equipment they are utilizing in their respective institutions in the areas of Information and Communications Technology (with specialization in computer hardware servicing and technical drafting), Home Economics (with specialization in cookery and dressmaking) and Industrial Arts (with specialization in electrical installation and maintenance and consumer electronics servicing). It also investigated the areas of concern that teachers have encountered as VTE teachers and their proposed measures to meet them. The study found out that adequacy of tools and equipment in teaching VTE in the Department of Education was observed in computer hardware servicing and cookery while inadequacy of materials in technical drafting, dressmaking, electrical installation and maintenance and consumer electronics was noticed. Challenges encountered by VTE teachers on facing the restructured curriculum deals on lack of project materials and completion requirements for students and insufficiency of reading materials and substandard laboratory shop facilities. The recommendations offered by the respondents to meet the challenges include: resourcefulness and creativeness on the part of the teachers in devising instructional materials and textbooks; updating of equipment and tools and strict monitoring and maintaining of facilities to be done by school officials; and additional hands-on training and relevant assessments for teachers and students spearheaded by the supervisor of VTE

The purpose of this paper is to conduct tracing study for students of certification competency exam at Ministry of Communication and Informatics Indonesia. The proposal is based on the concept of college and career readiness in Boston which was used to assess the factors of careers after students taking competency exam for framing the tracing study of certification competency exam in Ministry of Communication and Informatics Indonesia. Majority respondents use the certificate to apply for job vacancy. This is good result, means that the objective of Ministry of Communication and Information to facilitate young workers to get job from this competency exam do satisfied the objectives. The factors identified for not applying jobs are: still finishing study, already working, and taking entrepreneurship path. and are still asking support from their parents. Those who are working in banks, schools, government institutions and private companies, others say they are going to try to propose again, and are going to continue their education before attempting to get job again. Interestingly, there are some respondents are willing to take entrepreneurship instead of continuing their effort to get a job. This means that entrepreneurship is attractive for them.

Medicinal plants are used for their beneficial properties to the health of animals. Recently, it has been found that the use of medicinal plants eliminates industrial pollutants. The objective of our work is to determine and evaluate the effect of two medicinal plants (Thymus algeriensis and Artemisia campestris) on oxidative stress parameters in sheep. The results obtained in liver cells show that medicinal plants have produced a globally antioxidant preventive effect, this is revealed by the significant decrease in the GSH level (199.976±1.913), and the enzymatic activity of CAT (0.699±0.02). In addition, an increase in the enzymatic activities of GST (0.435±0.017), GPx (1.881±0.040) and MDA (29.009±0.086) was observed. These results clearly show an antioxidant effect of medicinal plants on the organism of sheep.

The present study aimed at the In Vitro Evaluation of Xanthine Oxidase Inhibitory Activity of Apium graveolens dulce and Bryophyllum pinnatum kurz. The activity was performed usingethanolic extract of leaves and stalk of Apium graveolens dulce and fresh juice of leaves of Bryophyllum pinnatum kurz at various concentrations (100µg, 200µg, 300µg, 400µg, 500µg, 600µg, 700 µg, 800µg). In this study Allopurinol was used as a standard drug. The results were noted in terms of highest percentage inhibition of Xanthine oxidase. The combination of ethanolic extract of leaves and stalk of Apium graveolens dulce and fresh juiceof leaves of Bryophyllum pinnatum kurz shows significant effect at highest concentration such as 800µg in combination group

Bacopa monnieri or Brahmi(family- Scrophulariaceae) used in indigenous medicine as nerve tonic and cardio tonic possess diuretic, adaptogenic, antioxidant, antidepressant, antibacterial properties, enhances cognition profoundly flourishes in the marshy regions. Preliminary phytochemical tests carried out using aqueous, ethanol and methanol extracts revealed the presence of phytochemicals like amino acids, alkaloids, carbohydrates, glycosides, flavonoids, phenol, saponins and tannin accounted for its medicinal aspects in organic solvents.

Patients with multiple myeloma may present a variety of renal manifestations as a result of damage from circulating light chain immunoglobulin components. The renal alterations can interest any of the renal compartments, and in certain cases more than one compartment can be affected. The resulting high serum concentrations of these proteins often lead to tubular interstitial injuries as endocytic receptors in the proximal tubules are overwhelmed. A 46-year-old white man with a history of left hip pain was diagnosed as multiple myeloma. Imaging including MRI and PET scan showed a left pelvic heterogenous mass causing bone destruction and compressing the adjacent organs. He was referred to the nephrology department due to the onset of acute kidney injury requiring hemodialysis. A kidney biopsy was performed and showed patterns of acute interstitial nephritis and focal linear staining for kappa light chains along tubular basement membranes on immunofluorescence. After glucocorticoids for acute interstitial nephritis and chemotherapy (Bortezomib -Cyclophosphamide - Dexamethasone) directed against the clone, the renal function partially improved and the patient got off hemodialysis support. Conclusion: Acute kidney injury may be the first clinical presentation in patients with multiple myeloma. Could interstitial nephritis be the only manifestation of MM without myeloma cast nephropathy and whether it was glucocorticoid or chemotherapy directed against the clone that has resulted in a significant improvement in renal function.

Ipomoea sepiaria Roxb., also known as Purple heart glory is a slender vine belonging to family Convolvulaceae. In Sanskrit it is known as lakshmana, in hindi as Bankalmi and in Malayalam as Tirutali. It is one among the ten sacred plants known collectively as “Dasapushpam” in Kerala. These plants are used for rejuvenating the body in the form of „karkidakakanji‟ in the monsoon season in Kerala which is also prescribed in text books of ayurveda. Juice of the plant is used as deobstruent, diuretic, hypotensive, uterine tonic and antidote to arsenic poisoning. The present study aims at the preliminary phytochemical screening of the successive solvent extracts of Ipomoea sepiaria Roxb. and identification of compounds in the Hexane extract by Gas Chromatography- Mass Spectrometry technique. The preliminary phytochemical screening revealed the presence flavanoids, tannins, flavanoids, terpenoids, steroids, sterols, cardiac glycosides and carbohydrates. The GC-MS analysis revealed the presence of the compounds Caryophyllene, α –Curcumene, β – Cadinene, ϒ –Elemene, Caryophyllene oxide, Asarone, Germacrone, Methyl isopimarate, Abietic acid, Lupeol, β –Amyrin and α –Amyrin which have not been so far reported in Ipomoea sepiaria. The higher percentages of compounds α- amyrin(33.341) β –Amyrin(16.28) which form the basic skeleton of triterpenoid saponins are promising.

Fasting during the month of Ramadan is one of the five pillars of Islam. During this month, adult Muslims are obligated to refrain from eating and drinking from dawn to dusk. Some of our CKF patients fast the whole month against medical advice, for many raisons (religious or social customs). The aim of our study is to evaluate the impact of fasting on the renal function in this population. We conducted retrospective study of 47 patients (16 females, mean age 61.9 years; 15-85 years) with a eGFR less than 90 ml/min/1.73m2, most had a eGFR less than 60 ml/min/1.73m2. For patients with chronic kidney disease, the existing data in the literature are scarce and give inconclusive results. Patients should be monitored closely by their physicians while fasting. If a sign or symptom of acute tubular necrosis occurred, the fasting should be discontinued

Seeds of Myrianthus arboreus P. Beauv were collected from from Didoko forest, at 140 km from Abidjan (Côte d‟Ivoire). One part of seeds (about 1 kg) was dried at sun (30-35°C) for a week (Dried Seeds, DS). A second part (1 kg), was boiled in water (100°C) for 30min (Boiled Seeds, BS). Oils were extracted using chloroform and methanol as solvent and the content in oil was determined by gravimetry. Physicochemical caractéristiques were determined using the méthodes of the American Oil Chemists Society. The total lipid contents of myrianthus arboreus seeds were 45.82±2.16 and 46.02±0.49; respectively for DS and BS. Physicochemical properties of these oils showed that acid values ; saponification and peroxide values and the iodine indices were 1,94±0.1 and 3,00±0.17 mg KOH/g ; 136,68 ± 0.32 mg KOH/g of oil and 148,36± 0.64 mg KOH/g of oil ; 5,49± 0.49 mEq/Kg and 5,6±0.10 mEq/Kg ; and 104,037±0.037 g I2/100g and 103.O42±0.042 g I2/100g respectively for DSO and BSO. The colours of myrianthus arboreus seeds oils were yelloworange for DSO and pale yellow for BSO respectively. The quality and stability of traditionally processed myrianthus arboreus seeds oil as affected by temperature were evaluated by analyzing their physicochemical properties which included acid, saponification, peroxide, and iodine indices.

The increasing number of opioid users among chronic pain patients, and opioid abusers among the general population, makes perioperative pain management challenging for health care professionals. Anesthesiologists, surgeons, and nurses should be familiar with some pharmacological phenomena which are typical of opioid users and abusers, such as tolerance, physical dependence, hyperalgesia, and addiction. Further clonidine also reduces intraoperative requirement of opioid analgesics as compared to normal saline group. Total amount of rescue analgesia needed in 24 hour was also significantly less in clonidine group as compared to placebo group. Intraoperatively more fentanyl required in placebo group as compared to clonidine group (p<0.05).

Crop simulation models are used in predicting crop productivity under various crop management options and changing climatic parameters that require determination of genetic coefficient of a crop cultivar. Successful use of a crop model depends on the accuracy of calibration and validation of different parameters. This paper aimed to evaluate the DSSAT (v4.6) crop model in Bangladesh for wheat production. Genetic co-efficient of four wheat cultivars (BARI Gom-25, 26, 27 & 28) were determined through DSSAT model. Experimental data on irrigation and nitrogen effect on wheat production was used for model calibration and date of sowing effect for model validation. Model evaluation results showed closer estimation of crop growth duration, grain and biomass yields. Percent error difference in grain yield of wheat varieties (BARI Gom- 25, 26, 27 and 28) between simulated and observed values were 10.98%, 8.70%, 10.79% and 8.94%, respectively. Relationship between simulated and observed grain yields, and simulated and observed crop duration both at calibration and validation process are strong having higher R2 value. The model has been successfully calibrated and validated for wheat growing in Bangladesh environment and can now it can be taken for further applications in natural resources management and climate change impact studies.

Medication carrier systems are delineated as definitions intended to exchange a medication to the desirable territory of activity inside the body. Principle part of medication carrier is a proper bearer which shields the medication from fast degradation or clearance and along these lines improves concentration of drugs in the targeted tissues. In light of their biodegradable, biocompatible, and non-immunogenic properties, niosomes are promising nanoscale carriers that are formed by self-aggregation of non-ionic surfactants and cholesterol in a watery stage. As of late, various researches have been accounted for the capability of niosomes to fill in as a bearer for the conveyance of various kinds of medications. Niosomes make better substance and strength conditions other than lipid vesicles. Niosomes have been generally assessed for controlled discharge and focused on conveyance for the treatment of malignancy, viral contaminations and other microbial sicknesses. In this sense, the present work means to audit the principle niosomal approaches utilized for relationship of various medications and the fundamental accomplishments from utilizing this innovation

The purpose of the present work was to evaluate the proximate composition, minerals content (Na, K, Ca, Fe, Mg, Cu, Zn, Mn), simultaneous quantification of water soluble vitamins (like ascorbic acid, thiamine, riboflavin, niacin, pantothenic acid, pyridoxine & folic acid) by HPLC of three different grasses viz. Cynodon dactylon, Apluda mutica and Eleusin indica. The result showed the highest calorific value of C. dactylon (124.031 ± 1.154 kcal/100g) which was also found to contain highest amount of protein and carbohydrate. An appreciable quantity of carbohydrate was estimated in the aerial parts of E. indica (17.762 ± 0.122%). E. indica had the highest potassium content (2.207 ± 0.006 mg/g) and calcium content (6.023 ± 0.002 mg/g). The sodium content ranged between 0.049 – 0.289 mg/g. The aerial parts of E. indica (274.945 ± 0.085 mg/100g) contained a very good amount of vitamin C. The water soluble B vitamin content in these plants under investigation ranged between 0.009 to 12.133 mg/100gm. In conclusion, the results indicate that these IAS can be utilized as food supplement.