The management of the cervical lymph nodes is an integral part of the overall treatment of the oral cavity malignancies. The indications and uses of the various types of neck dissections and pre and postoperative radiotherapy has been a subject of much debate. Based on the results of the present study and the literature available with us, we can conclude that, Dissemination of metastatic cancer to regional lymph nodes from primary sites in the upper aerodigestive tract occurs in a predictable and sequential pattern. For primary tumours in the oral cavity, the regional lymph nodes at the highest risk for early dissemination by metastatic cancer (first echelon nodes) are limited to levels 1,2 and 3, i.e., within the supraomohyoid triangle of neck. Skip metastasis to levels 4 and 5 in the absence of metastasis at levels 1,2 or 3 is very rare.

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.

Breast feeding with timely started complementary feeding is the best way of infant feeding. It is necessary for infant’s overall development, better growth, fulfilling nutritional requirement and it is most vital for reducing infant mortality. Objective of our study was to assess the knowledge, attitude and practice of complementary feeding among mothers in a tertiary Care Centre of Central India. A cross sectional study was done about knowledge of mothers with children below 2 year of age with help of pretested self-designed questionnaire based interview who are attending paediatrics OPD and IPD. In our study most of mothers did not know correct time of starting complementary feeding, they also did not know what food can be given, frequency and amount of complementary feed. In our study knowledge, attitude as well as practise towards complementary feeding was lacking hence health education to mother and family members required about correct feeding in early years of life.

The impact of culture environment was assessed for the production of GIFT tilapia over high stocking densities at 20 fish/m2 and 30 fish/m2 in ponds and 300 fish/ m3 and 400 fish /m3 in cages in the same ponds to ensuring maximum utilization of the pond resources. After 120 days culture period the highest net yield of 3.72 kg/ m2 was obtained from ponds which were stocked with 20 fish / m2 and fed with homemade feed consisted of 60% wheat bran + 30% mustard oil cake +10% flour, while the highest net yield of 8.55 kg / m3 was obtained from cages stocked with 300 fish / m3 fed with the same feed from the same cultural environment. The lowest net yields of 2.34 kg/ m2 and 8.48 kg/ m3 were recorded from fish stocked at 30 fish/ m2 and 400 fish / m3 fed with the same feed from ponds and cages respectively. With the high survival rate the growth and yield of tilapia fish were found to be significantly influenced (p <0.05) by the cultural environment, stocking density and their interactions. Therefore the culture environment had a greater exerted effect on the production than the stocking densities.

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.

A total number of 1042 flathead mullet Mugil cephalus were searched for parasites during summer & autumn 2015 and winter & spring 2016. Six different parasite taxa belonging to Microsporidia, Myxozoa, Ciliophora, Anisakidae and Gnathostomatidae were identified. The total number of infested mullets along the study period with one or more parasites was 396 representing a percentage of 38.0%. Mullets were infested with Microsporum velveticum through ingesting the intermediate host. This parasite was observed in the intestinal epithelia, adipose tissue, liver, stomach epithelia, muscles and air bladder. Myxidium depressum was observed in the liver and gall bladder of infested mullets in a plasmid stage that had undergone sporogony forming multicellular myxospores. Trichodina murmanica was observed on the gill surface, the operculum and respiratory epithelium where superficial to deep ulcerative lesions were visible. Third Larval stages of Anisakis simplex, Raphidascaris acus and Gnathostoma spinigerum were observed free in the duodenum and ileim or encapsulated in the stomach epithelia, liver, and muscles. The infra-community of protists was highest in winter and fall while for parasitic nematodes was during spring and summer. Seasonal fluctuation of the parasite community was demonstrated by using standard calculations.

This paper takes Wal-mart which is the leader of Fortune Global 500 as an example, analyzing its product, place, price and promotion, pointing out a series of marketing problems War-mart has faced within the Chinese market and offering some solutions. The marketing strategies of War-mart both in China and overseas have provided significant references to Chinese retailing companies. Chinese retailing companies should learn War-mart’s successful experience during its localization in China and avoid similar mistakes, and then convert what they have learned into their own strengths and advantages.

This cross-sectional study was conducted to determine the level of violence and influencing factors, reasons for violence according to women, women‟ behaviors in response to violence, reasons given by women who are exposed to violence for sustaining their marriage in Sanliurfa in Turkey between 15 December 2013 and 15 February 2014.Participants were selected by using 30 cluster sampling methods. A total of 300 married women were reached. The prevalence of being exposed to any type of violence was determined 78.7%; this included physical violence 18.3%, verbal violence 50.3%, emotional violence 38.3%, sexual violence 8.0%, and economic violence 57.0%. Considering all types of violence, the most common applicator of violence was husband (90–100%). Almost half of the women stated that they gave no reaction/became introverted and cried in response to violence from their husbands. Almost half of women being exposed to violence by their husbands were observed to sustain their marriage. It is also, 23.6% of women stated that they confirmed man's wife to violence in some cases (It is also 23.6% of women stated that they are OK with their husbans violance to themselves in some cases.) Women who participated in the study had a very high prevalence of being exposed to violence. Even more, violence was approved by women in some cases. These results show that health care professionals rendering services in the region have great responsibilities to prevent, determine and protect individuals from the violence, as well providing treatment and rehabilitation.

This study aims to test and analyze the influence of service quality, customer relationship, and customer satisfaction, and customer loyalty in PT Prudential Life Assurance. Adapataata used is the data of the 10 largest insurance in Indonesia during the last 3 years (January 2014 - December 2016). The research method used is quantitative. For sampling using Slovin formula. From population of 133 consumers of PT Prudential Life Assurance in Best One Agency Jakarta, 100 consumers met this criterion as a sample. The analytical tools used is multiple linear regression. The results showed service quality, customer relationship, and customerr satisfaction simultaneously (simultaneously) affect customer loyalty. Partially, service quality, customer relationship, and customer satisfaction have a significant positive effect on customer loyalty. And of the three variables diguanakan, customer satisfaction that has the most influence on customer loyalty.

Urinary tract infection (UTI) is one of the most common infectious diseases globally. An increasing antimicrobial resistance among Community-acquired (CA) and Nosocomial UTI has been rapidly growing. Cross-sectional, analytical and descriptive study was conducted to investigate the current in vitro susceptibility pattern of the clinically isolated bacteria among Community and Hospital-acquired (HA) UTI. Patient data for 421 urine specimens were collected from the case records during October 2016 to March 2017. Significant growth was yielded from 170 of urine specimens. Kirby-Bauer disk diffusion method was used for detection antibiotic susceptibility pattern for all isolates. Of the total 170 (40.4%) culture positive samples, 51.2% and 48.8% were CA and HA UTI respectively. The culture positivity of UTI among the female was (44.1%) compared to (55.9%) among the male. There was a significant difference in resistance pattern between CA and Nosocomial UTI. The distribution of the isolated pathogens were (51.2%) and (48.8%) in CA and HA respectively. The predominant bacterial isolate was Escherichia coli (43.5%) in both cases of community and nosocomial UTI. However, Klebsiella pneumoniae (69.0%) was mostly isolated from HA-UTI while Staphylococcus aureus (80.0%) was mostly detected in CA-UTI. The recent study revealed high resistant rates of UTI among HA as compared to CA. This study revealed that more than 90% of HA-UTIs isolated pathogens were resistant to broad-spectrum Penicillins, Cephalosporins, Quinolones, and Macrolides. Contrarily, high rates of bacterial sensitivity was found towards Imipenem (82.9%), Nitrofurantoin (72.4%), Ertapenem (70.7%), and Amikacin (67.1%). Even if Escherichia coli remains the major pathogen in UTI, the resistance pattern of CA-UTI is frightening in our country. Nitrofurantoin is the only oral drug that retained reasonable activity against most UTI pathogens. Imipenem and Ertapenem remain effective for UTI bacterial isolates. The changing of UTI etiological agents was observed in the current study.

This research is purposed to find out the influence of job satisfaction, employee engagement and organizational citizenship behaviour and its impact on turnover intention. Type of quantitative research with survey method. The population of all employees of PT. Iwaindo Internasional is 100 employees, non-probability sampling technique with a Saturated sample. The data analysis technique used is Multiple Regression. The results showed that job satisfaction had the significant effect on turnover intention, employee engagement had the significant effect on turnover intention, and organizational citizenship behaviour significantly influenced turnover intention. The simultaneous test (F test) shows job satisfaction, employee engagement, and organizational citizenship behaviour together have significant effect on turnover intention at PT. Iwaindo Internasional.

The friendly relations between China and Pakistan were set up in May 1951.The friendship of China and Pakistan is all weather and everlasting. The relationship is more profound than the seas and higher than the mountains. The supporting relations of China and Pakistan have turned into a model for a well disposed concurrence of creating neighboring nations. China and Pakistan are getting a charge out of solid respective social, financial and military connection. Both of the nations are endeavoring together to promote peace, steadiness and monetary flourishing in Asia.

The goal of our retrospective observational study is to look for the EEG changes in different location of ICH and to identify electrographic seizures. The current study brings into attention that seizures are frequent complication of intracerebral hemorrhage and may be a target for improving ultimate outcome. They occur in both lobar and deep hemorrhage and with or without associated intra ventricular extension. The study calls for need of prospective study to correlate the electrographic abnormalities with location of bleed and also the usage of prophylactic antiepileptic drugs in patients

Hepatitis C Virus (HCV) educational interventions are one option for helping these patients adhere to treatment recommendations while improving their quality of life. The aim of this study is to determine the effect of health-related quality of life educational interventions on Chronic Hepatitis C Patients'. A quasi-experimental study design. This study was conducted at the liver outpatient clinic of Fayoum Medical University Hospital. A purposive sample of hundred fifty patients was included. Tools: 1) Patients' needs assessment questionnaire. 2) Health-Related Quality of life of Chronic liver disease questionnaire (CLDQ).

There is some controversy about assessment of nodal stage in staging systems used for gastric cancers. The goal of the this study is to assess the influence of metastatic lymph node ratio (MLNR) and number of resected lymph nodes on survival in patients with gastric cancer who were perfomed R0 resection due to gastric adenocarcinoma. Data from 125 patients with gastric carcinoma who underwent R0 resection due to from 2009 to 2015 investigated retrospectively. Cut-off values used for MLNR were 0.1-25%, 26-50% and >50%. Sex, age, size and location of tumor , differentiation, tumor invasion, lymphovascular invasion, number of metastatic lymph nodes and MLNR were analyzed as prognostic factors. Five-year survival rate was 45.6%. Five-year survival rates among patients with pN0, pN1, pN2, pN3aand pN3b disease were 79%, 41%, 34%, 25% and 17%, respectively (p=0.0001). Five-year survival rates among patients in MLNR0, MLNR1, MLNR2 and MLNR3 categories were 79%, 42%, 28% and 5%, respectively (p=0.0001). Due to our results, tumor size, differentiation degree, depth of invasion, presence of lymphovascular invasion, number of metastatic lymph nodes, MLNR and disease stage were found to be associated with survival (p=0.0001). According to results of multivariate analysis, differentiation degree, presence of lymphovascular invasion and MLNR were found as independent risk factors, while number of metastatic lymph nodes was not an independent risk factor regarding survival. MLNR is an independent risk factor in gastric adenocarcinoma patients undergoing R0 resection regarding survival.