There are limited study of the risk factors and clinical characteristics of patients presenting with myocardial infarction (MI) at a young age in India. To study clinical profile of young patient with MI in India. The young MI patients were more likely to be male (80%), with high BMI (31 kg/m2), with a family history of premature coronary artery disease (49%) and to be current smokers (57.1%). 36% patients had none or only one traditional risk factor for MI. Male gender, Smoking, obesity and a family history of premature coronary artery disease being particularly prevalent in young MI patients

Calcification in the carotid artery (CACs) can be visible in the panoramic radiographs (PRs) near the region of the cervical vertebrae C3-C4, posterior to angle of mandible. The aim of this study was to evaluate the incidence of CACs on PRs and their linkage with hypertension, age, gender and smoking habits. PRs of 2000 patients were evaluated. The age group was chosen between 20 to70 year old people and their PRs had been taken for different clinical reasons. Information about smoking habits, hypertension and other vascular events was obtained from OPD case papers. The observers analyzed the presence of radiopaque mass in the region of posterior to angle of mandible bilaterally on PRs. The results showed a 0.6 % incidence of CACs on 2000 PRs. In our study no significant relationship was found between smokers and incidence of carotid artery calcification .In our study significant statistical correlation found between CVD and PAD and associated risk factor with CAC on panoramic radiographs.

Courts are the cornerstone of an ordered society. Legislature legislates or enacts law and statutes are the edict of the legislature. Courts implement those edicts through interpretation. Legislature lays down the general principles. Judiciary applies those principles in concrete cases. From the earliest Vedic ages, India has had a recorded legal history. In fact, a civil legal system might well have been in existence in the Bronze Age and in the Indus Valley civilization. India was always governed by laws as laid down in the Arthashastra way back in 400 BC and then later in 100 AD in the Manusmriti. The Vedas, Upanishads and other religious books of the Hindus, Jains and Buddhists put laws in place in ancient India, so the Indians of these times were already exposed to the idea of living under the law. The first major case of judicial activism through social action litigation was the Bihar under trials case. In 1980 in came in the form of a writ petition under Article 21 by some professions of law revealing the barbaric conditions of detention in the Agra protective Home, followed by a case against Delhi women's Home field by a Delhi law faculty student and a social worker. Judicial activism is not an aberration. It is an essential aspect of the dynamics of a constitutional court. It is a counter-majoritarian check on democracy. Judicial activism, however, does not mean governance by the judiciary. Judicial activism must also function within the limits of the judicial process. Within those limits, it performs the function of stigmatizing, as well as legitimizing, the actions of the other bodies of government – more often legitimizing than stigmatizing.

Recent economic developments are more dependent on the value created by intangible assets than tangible company's assets. Intangible assets in question are intellectual capital that is recognized as the basis of individual, organizational, and general competition in the 21st century. The rapid global economy and technological innovations that have led to tough competition in the business world make IC creation, management, measurement, and evaluation an important indicator in improving company performance that will affect the value of the company in the future. This study aims to determine the strong influence of intellectual capital on company performance, and how the influence of human capital on structural capital and relation capital by distributing questionnaires to 100 employees of banking companies in Jakarta for middle and upper positions. Approaching method used is Partial Least Square (PLS). Based on research that has been conducted, it can be concluded that human capital has influence on relation capital and structural capital. Similarly, human capital and relation capital has a significant influence on company performance, but structural capital doesn’t have significant effect on company performance.

An analysis of 129 cases of vocal cord polyps was done in this study. It was most often seen in middle aged persons during third, fourth, and fifth decades of life. Maximum incidence was in the 5th decade. The youngest of the patient was 26 years of age and the oldest was of 45 years, with the mean age of 36 years. Vocal cord polyps were found predominantly in males (86%), with a male and female ratio of 6.1:1. In all 129 cases, the lesions were unilateral and mostly situated in the middle of the vocal cords. Smoking (68.2%), vocal abuse or misuse (62.8%), and chronic respiratory tract infection (30.2%) were the main aetiological factors. There were no dysplastic changes in the epithelium. The treatment options for vocal cord polyps included both non-invasive and invasive techniques. Non-invasive techniques included conservative therapy with voice rest, steam inhalation, antiallergics, antibiotics, and antireflux drugs. Conservative treatment was considered as an option in vocal cord polyps which were small and of recent onset. Invasive technique was a combination of surgery and vocal rehabilitation. Conventional microlaryngeal surgery was ideal for the treatment of vocal cord polyps. In 82 cases (63.6%), the histopathological picture was of fibroangioma and in other 47 cases (36.4%) the picture was of chronic nonspecific inflammation with oedema. There were recurrences in 18 cases within one year of surgery. Operating measures did not prevent recurrences of vocal cord polyps. Recurrences were significantly less in the patients who stopped smoking and misusing or abusing their voices after surgery. Voice therapy and cessation of smoking in the postoperative period played important roles in the long term results of vocal cord polyps. Better outcome and rapid improvement were observed in those patients who underwent voice therapy in follow ups.

Theoretically, the research will reveal, review and discuss the workshop management refers to the Regulation of the Minister of National Education of the Republic of Indonesia number 40 of 2008 in improving the students' work skills skill at SMK Negeri in Jambi Province. This research is a case study research using qualitative approach. The steps undertaken by the researchers starting from the pre-field, the stage of field work to the stage of field inspection. The result of the research reveals: SMK in Jambi Province has not carried out the full management functions and socialization of Permendiknas RI number 40 year 2008 not to the institution of SMK in Jambi Province so that its existence has not improve the quality of Education especially the work practice skill of students. Workshop management and Permendiknas RI number 40 year 2008 to improve students work practices skills through the provision of facilities and infrastructure workshop complete according to national standards. While the skills of vocational students working practices in Jambi Province still need to be improved in order to achieve the competency standards of national vocational graduates and prioritize the application of Permendiknas RI number 40 of 2008 by reviewing all related institutions from Directorate General of Ministry of Education to vocational institutions in Jambi Province.

In this present study minimum inhibitory concentration of Moxifloxacin hydrochloride is determined by using cup plate method. Moxifloxacin Hydrochloride belongs to fourth generation fluoroquinolone antibiotic which is effective against both gram positive and gram negative microorganisms. Since moxifloxacin hydrochloride is a broad spectrum antibiotic Staphylococcus aureus and Escherichia coli is selected as test organisms. Serial dilution of Moxifloxacin Hydrochloride were made in the concentration ranging from 5000 µg/ml to 2.43µg/ml. Minimum inhibitory concentration of Moxifloxacin Hydrochloride was found out at 312.5µg/ml when seeded with S aureus and 19.5µg/ml when seeded with E coli

A new method for preconcentration of ultratrace amounts of Co (II), Ni(II) and Cu(II) ions in various matrices has been proposed. The method is based on the adsorption and chelation of the metal ions on Amberlite XAD-4 resin modified with Quinol via azotisation prior to their determination by standard spectrophotometric method. The effect of pH, type, concentration and volume of eluent, sample volume,flow rates of sample and elution solutions, and interfering ions have been investigated. The optimum pH for retention of the metal ion were10.0, 7.0 and 7.0 respectively. Eluent for quantitative elution was 5 ml of 2 mol l−1 HCl. The optimum sample and eluent flow rates were found to be 2.5 ml min−1. The sorption capacity of the resin was found to be 0.60, 0.45 and 0.52mmolg-1 for Co (II), Ni (II) and Cu (II) respectively. The preconcentration factor of the method was 250 for all the metals. The detection limit values were in the range of 3.0- 5.0 µgl-1. The accuracy of the method was confirmed by analyzing standard synthetic mixtures and standard addition methods. This procedure was applied to the determination of Cobalt, Nickel and Copper from various water samples and SRM’s.

There is need for more of scientific studies on the validity of traditional neurological teaching of clinical sign. Many textbook mention several cerebellar signs, but what the evidence base for these mention statements? A thorough search in the literature did not found the incidence of these cerebellar signs in cerebellar disorder and there validity. To assess sensitivity and positive predictive value of each cerebellar sign in cerebellar disorder. Residents in the department of medicine asked to examine healthy control or patients in a random order without giving them any information about the subject. Inability to do Tandem walking, Ataxic-gait, intention tremor, dysdiadochokinesi, dysarthria are having higher sensitivity while hypotonia and pendular knee jerk have lower sensitivity. Out of these 12 cerebellar signs, except Hypotonia and pendular knee jerk all were having statistically significant association.

River bank erosion has always been a challenging problem in Bangladesh. Conventional method of designing erosion protection structures are governed by the hydraulic loads resulting from currents and waves. In practice, toe protection elements are dumped into flowing water and settle somewhere on the river bed to form an apron. The present study has been undertaken to investigate experimentally the aspect of underwater threshold condition of toe protection elements. The experiments are conducted in the large tilting flume of the Hydraulics and River Engineering Laboratory of Water Resources Engineering Department, BUET. Cubeshaped Concrete Block (CC block) is considered as erosion resistant material. A geometrically similar undistorted scale factor of 20 has been selected to conduct the experiment. Hydraulic parameters and CC block are selected based on typical field condition and the experiment is designed according to the scale. Two different initial water level (set-up 1 and set-up 2) is deliberated for the same size of CC block to investigate the hydraulics of threshold characteristics. During experimentation various observations are made and the measured data are used to analyze various hydraulic features of threshold condition. Gradual smooth increment of flow is ensured to reach threshold condition. At this stage, water level is 0.212 m, section average velocity is 0.55 m/s and depth averaged velocity is 0.54 m/s for set-up 1. While for set-up 2, water level is 0.256 m, section average velocity is 0.54 m/s and depth averaged velocity is 0.53 m/s. Though the threshold velocity magnitude for setup 1 and set-up 2 are very close, the corresponding water level is quite different since initial depth of flow is different. It is expected that the results obtained here can be useful to develop predictive expression for estimating the threshold velocity of CC blocks. Scope of detailed analyses in this area of interest is in progress.

Abstract: The most common gynaecological malignancy is the Cancer of the cervix and it is the second most frequent cancer in women worldwide. Cancer of the cervix is one of the commonest gynecological cancers in Sri Lanka. The squamous cell carcinoma (SCC) is the predominant histologic type of cervical cancer seen across the globe. This retrospective Hospital based study was conducted for five and a half years period. During this period 508 cervical specimens were taken for analysis. A total of 52 cases of cancerous lesions of uterine cervix were undertaken in the department of pathology for this study. Remaining lesions were benign. There were 508 cervical tissue specimens were analysed during this period. Only 52 were malignant and remains were benign. Majority of cervical cancers were met during (96.2%) cervical biopsy either punch or cone biopsy. Patients’ ages ranged from 29-77 years with peak age incidence of cancer was 50-59 years. Majority of patients (36.5%) presented with per vaginal whitish discharge and it is followed by (32.7%) irregular/excessive per vaginal bleeding. Squamous cell carcinoma was the most common histological type; followed by adenocarcinoma 11.5%, and other1.9% infrequent tumour subtypes. According to Broder’s grading system, moderately and poorly differentiated at the time of initial diagnosis and constituting cases as20%,71.1%) and8.9% respectively. During the study period and SCC is the commonest histological type. Most of the women presented late. Therefore public health must be reinforced to detect them in premalignant stage through regular PAP smear programme. Further when women present with abnormal menstruation always to visualize the cervix with speculum examination suspicious lesion need biopsy. There is a need to establish a rational and organized national and local screening program to reduce the prevalence of cancer of the cervix in our community.

The historical weather datasets of different locations of India were complied for solar radiation, maximum and minimum temperatures and sunshine hours. Solar radiation is vital parameter, measured only at 35 meteorological stations all over the India. Our country, with diverse agro climatic zones, although covered by huge network of 550 Automatic Weather Stations but still faces the problem of acquisition of data related to key meteorological parameters. This paper aims to calibrate the coefficient of two equations: 1) Angstrom Prescott Equation [Rs= (a+b*n/N) Ra], which has input of sunshine hours data 2) Supit–Van Kappel Equation [H=Ho (a √Tmax-Tmin +b√ (1- Cw/8) +c), with the inputs of easily available temperature and cloud cover data, on the basis of 25 stations all over India representing diverse agro climatic zones. Extrapolation technique was used for the stations that are located within radius of 200 km. The relationship of solar radiation with square root of the difference in maximum and minimum temperatures was significant. The northern region showed greater range of predictability, i.e. 0.43 to 0.86 in winter; 0.19 to 0.82 in pre monsoon; 0.25 to 0.84 in monsoon and 0.40 to 0.89 in post monsoon which was statistically significant. The degree of prediction was higher for locations in northern and western regions, which was poor for all location in southern and eastern regions. The transmissivity of the atmosphere for global solar radiation under perfectly clear sky conditions is given as the sum of the regression coefficient a & b of Angstrom Prescott Equation. Also, the transmissivity of an overcast atmosphere is interpreted as the value of the intercept, a. From our regression constants (a = 0.23 and b = 0.38), it is observed that the atmospheric transmissivity under clear skies is 0.61. This result compares well with the value of 0.67 to 0.70 reported for the humid tropics [4]. The clear-sky transmissivity of most tropical regions in general seems to lie between 0.68 and 0.75 [1, 8].

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.