This work sets the objective of analyzing the impact that taxation can have on economic growth and poverty in Morocco. This analysis is conducted through a computable general equilibrium model where the macro-micro link is established. The splitting of the household agent into a quintile makes the model a powerful instrument for analyzing the effects of these policies on the behavior of the different classes of households.

Fine needle aspiration cytology (FNAC) is a valuable adjuvant to preoperative assessment in patients with salivary tumors. The study aimed at studying the cytological features of benign and malignant salivary gland tumors, improving the diagnostic accuracy by using immunocytochemistry and correlating it with histopathology. A total of 46 salivary gland tumors including twenty three cases each of benign and malignant tumors with available histology were included in the study. We studied 23 benign tumors, Pleomorphic Adenoma comprised 86.7% of all benign tumors and rest three cases were diagnosed as Warthin’s tumors. Positive correlation with histology was obtained in 95% in Pleomorphic adenoma and 100% in Warthin’s tumors. Twenty three malignant salivary gland tumors comprised 11 Mucoepidermoid carcinoma,10 Adenoid cystic and 2 Acinic Cell Carcinoma. Positive cytohistological correlation was established in eight out of eleven Mucoepidermoid carcinoma (Diagnostic Accuracy=72.7%) and all cases of Adenoid cystic and Acinic cell carcinoma. Diagnostic accuracy of FNAC for malignant tumors was 95.65%. Our study shows that FNAC is a highly sensitive and specific technique for diagnosis of salivary gland tumors. Immunocytochemistry can act as adjuvant in diagnosing salivary gland tumors, however it did not help in improving the diagnostic accuracy of FNAC in our study .Kappa value of 0.88 in our study indicated an excellent agreement between typing of salivary gland tumors on FNAC and histopathology

This study focused on examining the effect of motivation on employee engagement in Nigerian Civil Service. The proxies for the motivation were intrinsic motivation and extrinsic motivation. The population of the study was made up of all the civil servants in the six states that make up the South-South zone of the country. Primary data were collected by the administration of copies of questionnaire to a sample size of 600 respondents who were selected using convenience sampling. Five hundred and eleven (511) copies of the questionnaire were completed and returned to the researchers. The data obtained were analysed using descriptive statistics and simple linear regression. Results show that there is significant relationship between intrinsic motivation, extrinsic motivation and employee engagement. Based on the results, it is concluded that there is significant relationship between motivation and employee engagement in Nigerian Civil Service. Consequently, it is recommended, among other things, that government should look into ways of better motivating their employees.

Stress is a stimulus or a stressful situation. If the situation is a stressful job situation, then stress on work can be caused by several factors, including workload and working conditions. The ICU nurse must monitor the patient's critical condition carefully and continuously. Hospitals are one form of health facilities, both organized by the government and society that serves to make efforts of basic health or referral health and supporting health efforts. Hospitals in carrying out their functions are expected to pay attention to social functions in providing health services to the community. ICU is one of the work environment that has high-stress tendency. It is possible since ICU nurses are exposed to patients with unsafe mental conditions, requiring particular attention for 24 hours/day. This condition requires greater physical energy with special nursing care as well. Also, critical patients demand the speed and accuracy of performing actions that are not always required in other nursing situations. Another opinion says that inadequate knowledge and skills are seen as a stress source of ICU nurses. A nurse in charge of ICU performs three main tasks, life support, monitoring the patient's condition and preventing possible complications. The type of research is observational with the quantitative approach, while the research design used is cross-sectional that is by examining the dependent variable, free and variable between simultaneously. With a sample of nurses 11 people. Data analysis method by univariate analysis and bivariate analysis. The workload of nurses who work in the ICU area of the majority "Medium" are five people (45.5%). The working conditions of nurses working in ICU areas of the majority "Medium and Hard" are four people (36.4%). The stress levels the work of nurses working in the ICU area of the majority "Medium" are five people (45.5%). There is Workload Relation with Stress Level of Respondent in ICU is p <0,05 (p = 0.032), no Relation of Working Condition with Stress Level Respondent in ICU Year 2017 is p> 0.05 (p = 0.775). The hospital has to give counseling, education and training of emergency and the use of supporting tools available in ICU room so that they can anticipate the obstacles faced during the working period.

The descriptive term ‗Orofacial Granulomatosis‘ has been used for any granulomatous process of unknown etiology involving the oral cavity, which on lesional biopsy shows lymphodema and non- caseating granulomas. The diagnosis is based on exclusion of possible systemic diseases and conditions that are capable of producing similar histopathologic and clinical features. Orofacial granulomatosis can be a distinct clinical disorder or can be an initial presentation of an underlying systemic disease such as Crohn‘s disease or spectrum of related disorders that may go undetected for a long period of time.

Prostate cancer became a major public health problem on the threshold of the third millennium. The trilogy rectal touch, PSA-iso forms and biopsy is the pillar of the diagnostic approach and a pragmatic reflection. This is a retrospective study including the analysis of the medical records of 1053 patients admitted between 2000 and 2015. The inclusion criterion is a rate of PSA-T between 4 and 10 ng / ml which corresponds to 783 patients (74.3%) constituting two groups, one of 253 (prostate cancer), the other of 530 (adenomas = control group). The aim of our study is to evaluate the interest of the PSAL / T ratio in the North African population. The median age of patients was 63 years, 70.3% were symptomatic. The median PSA-T is 6.9ng / ml with a PSAL / T ratio ranging from 7% to 32% with an average of 19%. The mean prostatic volume is 57 cm3. 32, 3% with prostate cancer. The sensitivity and specificity of the PSA L / T ratio according to the cut-offs were studied at the time of diagnosis of prostate cancer and the value of 17% was retained with the best compromise between specificity (68%) and sensitivity (57%). A PSAL / T ratio <15% is the best detection rate for prostate cancer (52%). The contribution of the PSA-L / PSA-T report is indisputable since the first contact with the patient in consultation; the results in the Maghreb are comparable to those found in the literature. This iso PSA form reduces many unnecessary biopsies when it is greater than 25%.

Emphasis on facial esthetics has become an integral part of dental treatment. There are many esthetic consequences of edentulism, among which facial disfigurement due to sunken appearance of cheeks and lips has a greater negative psychological impact on the individual. This clinical report describes an innovative, simple, effective and noninvasive procedure for fabrication of complete denture along with intraoral detachable cheek plumpers using Casted key and keyway to ensure a stable and aesthetic complete denture.

Abstract: Abnormal and heavy bleeding during menses is a one of the common menstrual abnormality during puberty and adolescence. Puberty menorrhagia is most often due to physiological immaturity of neuro hormonal mechanism of control of menstruation and ovulation. Sometimes it may be an expression of some hidden endocrinal or haematological disturbance. A prospective cross sectional study was carried out to analyse the demographic profile, clinical presentation and treatment outcome of 28 cases of puberty menorrhagia reported over a period of three years at Pravara Rural Hospital, Loni, Ahmednagar district in Maharashtra. It was observed that 54 percent of cases were in the age group of 13-14 years. The duration of symptom was less than three months in 61 percent cases. Anaemia was observed in 93% of cases, of which 50% cases had severe anaemia. Anovulatory DUB was the commonest cause (75% cases) for menorrhagia, other causes being Hypothyroidism (11% cases) and Idiopathic thrombocytopenic purpura (7% cases). Majority of cases responded to either progestogen therapy (64%) and remaining to either combination of oestrogen and progesterone (32%) or oestrogen (4%) alone. All cases were given haemostatic agents in the form of either ethamsylate or tranexamic acid.Oral iron supplements were given to all cases. Cases with hypothyroidism and idiopathic thrombocytopenia were treated with throxine and platelet transfusions respectively. Six cases (21.42%) required admission in intensive care unit for severe anemia with haemoglobin percentage of less than 2.5gram percent. One girl succumbed to congestive cardiac failure due to severe anaemia. She had reported in gasping condition in casualty. Puberty menorrhagia is one of the commonest menstrual abnormalities during adolescent age group. The heavy menstrual blood loss may result into anaemia and panic reaction in girl child and her parents. Early consultation with Gynaecologist, performance of necessary investigations and treatment with hormones, haemostatic and haematinic drugs usually give relief.

This study aims to analyze factors affecting accounting student academic performance in the first year study, i.e., gender, learning motivation, experience in the accounting courses, activeness in the student organizations, and scholarship. Data collection was done in December 2017 and this study ended up with 125 students of the Accounting Department, Jenderal Soedirman University, Indonesia, as a sample. By using OLS Regression, the findings show that learning motivation has a positive significant influence on student academic performance, meanwhile, activeness in the student organizations influences negatively on student academic performance. Moreover, the rest of independent variables in this study do not have a significant influence on the student academic performance. With the limited number of sample, this study still contributes in the accounting education research area, particularly on factors affecting student academic performance.

With drastic advances in information technology, many new social media platforms have been created, such as Facebook and LINE. As firms search for competitive advantages in using these platforms to consolidate old consumers and attract new customers, this research examines two major characteristics of brand community: Brand Community Integration & Consumer Acceptance and Use of Information Technology. We observe how Brand Community Characteristics influence Brand Loyalty and test the mediating effect of Brand Community Identity. An empirical survey investigates the LINE community and shows that Brand Community Characteristics and Brand Community Identity both significantly increase Brand Loyalty and that Brand Community Identity has a mediating effect between Brand Community Characteristics and Brand Loyalty. Results herein suggest that enterprises should obtain members’ identity in the community first before building up their Brand Loyalty.

By studying quantum state, quantum state spaces as well as multiple qubits of quantum mechanics, it is found that an active path finding robot can be designed on the basis of quantum mechanics. To begin with, quantum encoding, quantum logic gates, quantum logic circuit, quantum gate arrays and quantum parallelism are studied. Then a robot on the basis of quantum bits is designed. Finally, an active path finding algorithm on the basis of quantum fourier transforms and related pathing finding algorithm are found. Meanwhile, some examples and related analyses indicate that an active path finding robot on the basis of quantum mechanics is feasible.

Abstract: Hypertensive disorders of pregnancy are the most common but a leading cause of maternal and perinatal morbidity and mortality. The present study was done to identify the possible risk factors for the hypertensive disorders of pregnancy. This hospital based case-control study was done on 250 normotensive and 250 women with hypertensive disorders of pregnancy were included after obtaining informed consent. Data were collected on socio-demographic profile, obstetric history, history of hypertension in previous pregnancy, family history, pre pregnancy weight, height and BMI. Data were entered in the MS Excel sheet and statistically analysed. Odds ratio with 95% confidence interval was used to calculate impact of different variables on the risk of presenting hypertension. The occurrence of hypertensive disorders in pregnancy was found significantly higher in the age group ≥30 years, nulliparity or Primipara, family history of hypertension and history of hypertension in previous pregnancy. Women with history of stillbirth were 5 times more at risk of having hypertensive disorders of pregnancy. No statistically significant relationship was found between hypertensive disorders in pregnancy with educational status, religion, residence and socioeconomic status, gravidity and history of abortion. Identifications of risk factors for hypertensive disorders during pregnancy will help in planning treatment of hypertension and preventing complications through regular antenatal check-up.

This paper critically reviews methods applied in forecasting production of unconventional gas plays. The review focuses on methodologies suitable for shale gas plays, methodological ability to account for parameter and data uncertainty, as well as suitability for appraising undeveloped shale gas plays. The production analysis and forecast methods reviewed include empirical/decline curves, type curves and analytical/numerical methods applicable to unconventional gas production analysis and forecast. The review shows that most of the studies focus on developed shale gas plays, neither account for shale gas well reservoir heterogeneity nor account for below ground uncertainties-such as reservoir and source rock properties. This study concludes that significant research is needed to address the identified limitations of existing studies.

Health status of the Pakistan population is growing aggravated. Incorporation of insalubrious regimen characterize by sedentary lifestyle, unhealthy intakes embracing tobacco products, soft drinks, junk food, mark as internal risk factors, accompanying the external exposures to air pollution, water contamination, ultra-violet radiation, garbage splaying characterizing insalubrious milieu, some of the sufficient cause for degenerative health status of population. Low conservation approach against these modifiable risk factors impel to frequent illnesses encounters which in absence of appropriate care mounting to serious conditions increase bombardment for secondary and tertiary care resulting high morbidity and mortality rate among masses. Article intends to highlight the frequent exposure to internal and external modifiable risk factors leading towards the escalated trends in incidence and prevalence of various acute and chronic diseases. Also embraces certain interventions likely to subdue insalubrious perils, trigger healthy regimen and signal positive outcomes in health status of the population. Article is based on literature review, formulated considering fact and figures, excerpted mostly of secondary sources. PubMed, DOIA browsed frequently to sieve most relevant content. Whole compilation phase has last for approximately 3 month dated June to August 2017.

Physical inactivity is the biggest health problem of this millennium and promoting regular physical activity by primary care physicians is considered to have pivotal role to combat modern-day non-communicable diseases. This study aimed to assess the attitudes and barriers of primary care physicians toward promoting regular physical activity to patients in Prince Sultan Military Medical City, Riyadh, Saudi Arabia. This cross-sectional study was conducted between January 2015 and July 2015 at Prince Sultan Military Medical City Riyadh, Saudi Arabia. Using a structured questionnaire, a total of 80 participating primary care physicians were evaluated for their attitudes and perceived barriers toward promoting physical activity to patients. The data were analyzed using SPSS software. Physicians considered health promotion in general (n = 78; 97.5%) and promoting physical activity - in particular (n = 80; 100%) constituted the overwhelming majors of the participants since they considered such promotion as an important part of the primary care. Advice to increase physical activity was given to patients by most participants and most considered themselves effective health promoters. Lack of time (n = 58; 72.5%), patients ignoring the physician’s recommendations (n = 52; 65%), and insufficient educational materials for patients (n = 43; 53.8%) were most frequently perceived as barriers to promoting physical activity by primary care physicians. The attitudes of primary care physicians were found to be consistent with expectations. However, consideration should be given to overcome perceived barriers to achieve health goals associated with promoting regular physical activity.