The relevance of the International economic institutions and Economic Development Agreements (EDAs) in the world today cannot be overemphasized. Several scholars have opined that they engender developments, particularly, in the country or countries of interest, and/or where the EDAs have binding force. In the same vein, the concept and principles of sustainable development balances the need for economic advancement with the need to preserve global environment to the benefit of the present and future generation. This paper examined the role of international economic institutions and economic development agreements in pursuing sustainable development. From the examination, it was observed that EDAs executed between countries now consider environmental factors and other aspects of sustainable development as veritable elements. And that Sustainable development has reshaped the interpretation of key provisions within the WTO’s agreements.

PT Nexus Fashion & Sports is a manufacturing industry that produces work gloves and sports. The company's current production system has not been able to run effectively and in balance because production demand and production planning always change. Applying the right production system can provide the right production process. The Toyota Production System (TPS) can help companies cope with demand fluctuations and control production planning in a controlled manner. The basis for the implementation of TPS is the principle of heijunka, namely the fundamental removal of mura, muri, and muda. This study aims to measure the effectiveness of the production process and design the TPS based on the principle of heijunka to improve the productivity of human labor. Analysis of production process effectiveness using manufacturing cycle effectiveness (MCE) method was 67% and improvement proposal was 69%. Production rate balancing (mura) on production scheduling of TPS design based on heijunka principle using mixed model scheduling method produces daily flat based production. Alignment of workload (muri) using work load analysis method in March and April 2017 TPS design based on the principle of heijunka there were advantages of 1 person and 4 people. The average human work productivity of TPS design based on heijunka principle increased by 1.10%.

The purpose of this study is to obtain information about the effectiveness of illustrated religious stories in developing early childhood moral intelligence. The research was conducted in Raudhatul Athfal (RA) al-Akhyar Muara Bungo, Jambi Province. In this research, the researcher has used Action research method with Kemmis & Mc Taggart model, which includes four stages of planning, action, observation, and reflection. The subjects of this study were 20 children of RA. The study was conducted in two cycles consisting of three meetings in each cycle. The technique of data collection is done through observation, interview, and documentation. In analyzing the data, the researcher used quantitative and qualitative approach. Quantitative analysis uses percentage and frequency tables to see changes in a score of achievement level of moral intelligence while the qualitative analysis uses Miles and Haberman model analysis. The results show that the moral intelligence of children can be enhanced through religious picture story. Before the action of moral intelligence, the child is in the category of developing the category of growth in the second cycle. The results provide the implications for schools or developers of moral creativity in early childhood.

Several denture based materials have been used with a wide range of applications. Several techniques have been used in recent time to improve its properties for better durability, strength and working. To compare Impact Strength, Compressive Strength, Tensile Strength, Hardness and Dimensional accuracy of autopolymerized, postpolymerized microwave exposed autopolymerized and heat-cured denture base resins. Specimens were prepared by different modes of polymerization using autopolymerization technique, microwave post-polymerization treatment of autopolymerized acrylic resin and conventional water bath technique. The specimens were then subjected to various tests to evaluate strength (Impact, compressive, Tensile) and Hardness. There is statistically significant difference was found between mean impact strength and compressive strength of autopolymerized, postpolymerized microwave exposed autopolymerized and heat-cured denture base resin. There is no statistically significant difference between mean tensile strength of autopolymerized acrylic resin and postpolymerized microwave exposed autopolymerized acrylic resin (p=1.000) but a statistically significant difference was found between mean tensile strength of autopolymerized acrylic resin and heat-cured denture base resins (p=0.001). There was a statistically significant difference between mean Rockwell Hardness Number of autopolymerized acrylic resin and postpolymerized microwave exposed autopolymerized acrylic resin (p=0.005). A statistically significant difference was also found between mean Rockwell Hardness Number of postpolymerized microwave exposed autopolymerized acrylic resin and heat-cured denture base resins (p=0.001). Similarly, there was statistically significant difference was found between mean Rockwell Hardness Number of autopolymerized acrylic resin and heat-cured denture base resins (p=0.03). Comparison of mean linear dimensional change between autopolymerized and postpolymerized microwave exposed autopolymerized denture base resins showed no statistically significant difference in the mean dimensional change between the autopolymerized and postpolymerized microwave exposed autopolymerized denture base resins (p=0.051). Heat-cured acrylic resin exhibited the maximum values for Impact strength, Compressive Strength, Tensile Strength, Hardness and Dimensional Accuracy and Impact Strength of autopolymerized acylic resin improved after microwave postpolymerization treatment. Whereas, Hardness is decreased and Dimensional accuracy remained unaffected after the microwave postpolymerization treatment of autopolymerized acrylic resin.

Increased demand has driven the property business to grow and expand more rapidly. This has a positive impact on the national economy because it can increase the rate of economic growth through the level of investment. Behind its rapid development, the property business is extremely vulnerable to economic shock.. With Vector Error Corection Model (VECM) method, this study aims to see what macroeconomic variables influence the Residential property prices index as well as the magnitude of their contribution and how residential property price index respond to macroeconomic shocks. Macroeconomic variables used in this study such as economic growth, inflation, interest rates, money supply, and exchange rates. The results of this study show interest rates and economic growth does not significantly affect residential property price index on Jabodebek-Banten. The responses generated from the Impulse Response Function is different in each category. Meanwhile from the Forecast Error Variance Decomposition shows that the Money Supply, Exchange Rate, and Inflation has a big contribution on the shocks that occur in residential property price index in Jabodebek-Banten in various categories.

Eyes are generally the first features of the face to be noticed, playing a significant role in our daily lives. The most grievous yet, unfortunately, the most commonly occurring loss out of all the sensory organs is that of an eye. Such an adversity may have a prodigious emotional and psychological impact on the patient with loss of function. Artificial replacement of the lost eye is done with an ocular prosthesis. The prosthesis will improve patient’s esthetics, restore and maintain health of these structures, and thereby provide physical and mental wellbeing. Accurate impression to duplicate the contours of the defect site is required for the fabrication of the custom made prosthesis. In the following case report, a custom made scleral shell prosthesis was fabricated for the patient.

‘Poison’– The term first appeared in English Literature around the year 1230. It refers to a substance with an inherent property of being harmful to life or health. The earliest used poison, used in wars and official executions, included plant extracts, animal venoms and minerals. The aforementioned poisons are still used in the present day though they are not amongst the more prevalent ones, the trends having changed over the last millennium. Aluminium Phosphide poisoning occurs most commonly through ingestion and is seen more frequently in young males in their third decade. Fresh AlP is associated with higher and quicker fatality with respect to stored poison, less survival, more mortality.

In this study EPANET, a widely used water distribution package was linked to OptiGa, a Visual Basic ActiveX control for implementation of genetic algorithm, through Visual Basic programming technique, to modify the computer software called OptiNetwork. OptiNetwork was applied to Badarawa / Malali distributionnetwork consisting of 96 pipes of different materials, 75junctions, two tanks, and a source reservoir (i.e treatment plant) from which water is pumped through a pumping main to the overhead reservoir and later distributed to the network by gravity. After several runs the cost obtained from this network using OptiNetwork software under the application of genetics algorithm is $433,520.00which is lower than $435,118.00 obtained from OptiDesigner software. This difference is approximately 3% lower than the result obtained from OptiDesigner (a commercial software) with minimum pressure head of 3m and maximum of 100, Pressure penalty of 200,000 and probability of mutation equal to 0.03, also the commercial diameters of 4”, 6”, 8”, 10”, 12”, 14”, 16” 18” 20’’, 22’’and 24’’ dmin =4”, dmax = 24” were used for the distribution network during the optimization process. The results obtained shows that the introduction of the modified software (OptiNetwork) is justified. This is because it has been able to improve the search method in terms of achieving the “least-cost” designed water distribution system that will supply sufficient water quantities at adequate pressure to the consumers.

The Labour Act 2003, Act 651 serves as guide to help foster a harmonious relationship between management and employees. It is paramount to acknowledge the significant role that Union activities have played. Amongst them are; bargaining on behalf of employees, bringing industrial harmony among employees and employers, serving as a guide and direction for employees to direct their grievances and many more. The study was to find out the impact of union activities on the performance of employees. The specific objectives of the study were: To identify the main strategies used by trade unions to protect the interest of members, to find out the benefits associated with joining trade unions and, to find out the effects of trade unions on workers performance. The significance of the study was to find out the socioeconomic good of workers at the Bawku Presbyterian Hospital and help unveil the problems associated with trade unions and its impact on their performance. The researchers through questionnaires used 70 respondents from the Bawku Presbyterian hospital who are members of Health Service Workers Union. Out of the findings 64% of the health workers said trade unions help workers to get their demands. The methodology used for the study was descriptive in nature. The findings of this study corroborate that of other researches that union activities have effect on workers performance at the workplace. Union activities have impact on the performance on work. This implies that it sounds appropriate for employers to put in place enough structure. Through that, industrial action will be reduced. Base on concrete satisfactory measures, it will be very difficult for workers to embark on strike action.

Odontomas are mixed benign hamartomaous malformation of odontogenic origin. Mainly two type complex and compound Odontomas, complex type more often seen in premolar and molar region of mandible, compound type more often seen in anterior maxilla. They commonly occur in permanent teeth. They are generally assymptamatic, detected on routine radiographic examinations or radiographs are taken to determine the reason for failure of a tooth to erupt. Odontogenic tumor treated by surgical enuclieation of lesion. Here we report a case of complex Odentomas in an 11 year old girl that cause distal displacement of maxillary lateral incisors, which is rare occurrence.

This study aims to examine, analyze and explain the impacts of compensation, career development and employee engagement to employee’s performance partially and simultaneously (Case Study at PT Bank XYZ). The research design used is quantitative descriptive research causality involving 30 respondents. Sources of data are from primary and secondary data, primary data obtained from questionnaires distribution and secondary data obtained from journals and books. Data analysis used model test using smart application PLS 3 that consists of test outer model and inner model. The results showed that compensation, career development and employee engagement partially have a positive impact on employee performance, while they have a positive and significant impact on employee performance simultaneously. The independent variable has the greatest impact is the employee engagement.

Pemphigus is a group of mucocutaneous blistering disease which can be seen involving only the oral cavity also. The cutaneous lesions are preceded by oral lesions in many cases reported in the literature. This condition is very painful and it affects the quality of life of the patient. Early diagnosis of the disease will improve its prognosis and quality of life of patients as severe conditions are life threatening. Here were are reporting a similar case of Pemphigus Vulgaris.

Postpartum Hemorrhage in atonic uterus with ‘C’ section is an important complication and commonly encountered condition. We in the present study tried to evaluate the effectiveness of B-Lynch suture to control PPH in atonic uterus. The study was conducted on n=100 patients in the Department of Obstetrics & Gynecology, Rajiv Gandhi Institute of Medical Sciences [RIMS] Adilabad during Feb 2016 to Dec 2017. 50% of patients were in age groups 20-25 years and 26% belonged to age groups 25-30 yrs and 24% were in the age group of 30- 35 yrs. Primi gravida was in 75% of the cases and 25% of cases were second gravid. Hydramnios was present in 20% of cases PET was in 25% of cases, prolonged labour was in 30% of cases and Previous LSCS and PET was present in 25% of cases each. In 76% of cases no blood transfusion was required, 15% of cases required 1 unit blood transfusion, and 9% required 2 units’ blood transfusions. The complications due the procedure were nil and mortality was nil. Conclusion: The B-Lynch suture is still one of the best methods to control Postpartum Hemorrhage PPH in atonic bladder especially in low resource settings. If used properly it can control PPH without need of blood transfusions and complications and the procedure also preserves the uterus functions and future fertility

Corporate governance is mechanism use to improve firm performance and value because it reduces the level of expropriation of the company’s assets by the management and it also improves the level of expected cash flows that can be distributed to shareholders in form of dividends. The study examines how corporate governance has affected corporate performance under pre and post adoption of IFRS. The findings show that corporate governance is more effective in explaining and predicting corporate performance of listed deposit money banks in Nigeria after the adoption of IFRS better than before the adoption. In view of this, the study recommends that there is need to encourage application of IFRS principles by banks and other institutions to enhance corporate performance of deposit money banks in Nigeria.

Abstract: Vesico-uterine fistula (VUF) is an uncommon urogenital fistula. Menouria is an important clinical feature of this fistula. A case report of VUF following cesarean sections is reported. There were several investigations done to arrive at a diagnosis of VUF. This case was successfully managed by surgical repair. One year following the repair she conceived and currently she is ten weeks of pregnant. VUF can be prevented by good surgical techniques.