The article has focused on clarifying the concept of accountability, the head and accountability of the head of the state administrative agency, indicating the factors constituting the accountability of the head of the state administrative agency, things to do with good results and things not to do; Obligations, rights and accountability taking of the heads of state administrative agencies in complying with the law and serving the people; In planning, making decisions and directing activities of the agency, organizing the performance of functions and duties assigned by the State and the people; pointing out the characteristics of accountability of the head of the state administrative agency in order to understand, regulate and unanimously perform the accountability of the head of the state administrative agency in Vietnam.

Fatty liver disease in absence of alcohol abuse is now emerging as a major health burden in the world. It represents the hepatic manifestation of the metabolic syndrome, a variably defined aggregate of disorders related to obesity, insulin resistance, hypertension and hyperlipdemia. To study the various anthropometric parameters in non-alcoholic fatty liver disease patients. The present study was conducted in the Department of Medicine on 65 patients with ultra-sonographic finding of fatty liver disease with no history of alcohol. Various anthropometric measurements like neck circumference, height, weight, waist to hip ratio, BMI were measured and recorded. For analysis, statistical software SPSS latest Version 20.0 was used. The results were analysed using the appropriate statistics. In our study we found that 45 patients ie 69% are obese and maximum number of the patients ie 95% males and 100% females have their waist hip ratio above the cut off value and 64% male and 98% female have neck circumference more than the cut off value . The study concludes obesity, neck circumference and waist: hip ratio was associated with NAFLD in our study

The peripheral intravenous (PIV) catheter is the most used vascular access device for administration of medications in hospitalized neonates. To evaluate the impact of an educational program for nurses on assessment, management, and prevention of peripheral intravenous complication in neonatal intensive care unit. A quasi-experimental research design was used in the current study. The study sample consisted of a convenience sample including all available nurses (88) at University Hospital, General Hospital and Health Insurance Hospital at Beni-Suef. Two self-administered tools for nurses; part I, socio-demographic data for nurses, part II, nurses’ knowledge regarding IV fluid and part III, nurses` knowledge regarding IV complications and neonate's needs of management and observational checklist for nursing practice about IV infiltration or extravasation in neonates. The findings revealed that there was a highly significant difference in the pre and post-intervention program and their knowledge and practice, the study stated that there was an improvement in their knowledge and practice towards prevention and management IV complications. Educational intervention had a significant role in increasing knowledge and practice of universal precautions among nurses. It is recommended to exert more efforts in developing and applying similar educational endeavors for nurses in NICUs these educational initiatives need to be boosted periodically to ensure sustainability of their positive effects on knowledge and practice

A novel therapeutic use of Ethosuximide has come to light with the findings of powerful analgesic effects in experimental models as well as in humans.The analgesic effects of Ethosuximide were explored in various nociceptive models. Following intraperitoneal administration, ethosuximide dose-dependently reversed chemotherapy induced peripheral neuropathic pain and capsaicin-induced mechanical Allodynia, and produced antinociceptive effects in the rat-tail flick reflex test in male rats. Analgesia Produced by Ethosuximide is as good as that Produced by Gabapentin in Acute Pain models. Analgesia produced by extract of Ocimum sanctum is as good as that Produced by Ethosuximide, when compared with these drugs individually in acute pain models. In Neuropathic Pain induced by Ethosuximide Produces Significant Analgesia in Thermal Hyperalgesia Models and significantly reduces Cold Allodynia. The Ethosuximide in neuropathic pain relievers Thermal Hyperalgesia as well as cold Allodynia.

GV Black proposed a classification for recording caries which served the purpose efficiently for almost 100 years. Owing to its inbuilt shortcomings and current knowledge on cariology and induction of modern technology and restorative materials, Black‘s philosophy has been rendered despondently ineffective. Though various more comprehensive classifications and caries management systems have been evolved but Black‘s classification remains popular tool for recording of caries worldwide. The similar situation is found among dental professionals in Pakistan. This study was planned with the objective to know the reason for not using other classification systems and awareness about the existence of newer systems among Operative Dentistry / cariology specialists or teachers. A content validated close-ended questionnaire was used as a tool for this survey based study. The questionnaire based on two-point Likert scale with options of ―Yes ―and ‗No‖ comprising of ten simple queries regarding Black‘s caries classification was sent personally to all those who showed willingness to participate in the study and was recollected within 15 days. 85% of the participant agreed that Black‘s classification focuses on treating dental cavities and not the carious process itself and 95% were aware of existence of more conservative modes of caries classification. Majority confirmed that Black‘s classification isn‘t compatible with minimal interventional approach to dental treatment. Even then, this is the chief classification that is followed in dental schools in Pakistan. Black‘s classification isn‘t well-suited for existing philosophy for caries management and dental profession should switch over to already existing more compatible classification.

The fundamentalists often perceive that Islam and its principles are a hindrance to innovation. Relevant, extensive research proved otherwise. For example, a comparison of research on innovation in the Islamic and non-Islamic perspective was made, which verified that Islam does promote innovation. As this is a content analysis paper, it is important to acknowledge that there are five types of innovation in Islamic banking. They are Islamic financial product innovation, Islamic bank process innovation, Islamic bank marketing innovation, innovation and risk management in Islamic finance, and Islamic work value and innovation. After comparing with research on innovation in the non-Islamic perspective, it was found that there is still a lack of protection for the innovation and the Islamic perspective also lack measures for the innovation.

Automatic building change detection required for metropolitan and urban planning , industrial city planning, road and highway planning, unauthorized construction detecting, stopping any new construction on risky or highly dense areas, planning for homeland security etc. This research proposal aims for automatic building change detection and 3D map generation using multispectral imagery and 3- dimentional height data. The goal for this research proposal is to detect building changes with precise geometric accuracy and use the detected building changes data to generate 3D building map. High resolution aerial and satellite imagery and highly dense height data from LIDAR can detect building change and can generate an accurate up-to-date 3D building map.

A zero coronary calcium score was obtained in out study in 28.33 % participants of which only 4 (13.35% of cases) patients who developed ACS had a zero CACS, while 13 (43.3% of controls ) people among control had a zero CACS. In this study, we analysed the distribution of Coronary artery calcium scores in patients of ACS who do not have traditional risk factors namely obesity, diabetes, smoking, dyslipidemia, hypertension was significantly different as compared to asymptomatic people without CAD and having none of above mentioned risk factors. Even though there were no traditional risk factors coronary calcium scores were significantly higher in patients who developed ACS as compared to controls

The article examines the relationship between attitudes of staff members towards gender differences and high job positions relating to employee performance and institutional development in selected Universities of Western Uganda. The study adopted an observational, cross-sectional exploration design with both quantitative and qualitative as paradigms in order to describe the data and its characteristics [6]. Questionnaires and an interview guides were employed to gather information from the respondents. Data was analyzed using frequencies, percentages and bar graphs. The study findings showed that there was a positive relationship between gender differences in decision making and top management positions. The study findings recommended that there is need to ensure building the capacity of women by improving their literacy and leadership skills, give men and women equal opportunities and treat them equally and have equal access to top jobs in all institutions of learning, the study also suggested including both men and women in policy making processes, through consultative ways in high level decision making.

Abdominal trauma is responsible for 10% of all the traumatic deaths. With progressing technologies and civilization, the profile and pattern of abdominal trauma is changing. This study was conducted to look into the pattern and early treatment outcome of abdominal trauma in our local setting. Prospective and observational study from 1 February 2017 - 1 February 2018. Records of patients with abdominal trauma were collected from the day they were admitted to final outcome of management at discharge or death. Data analysis was done using IBM® SPSS® Statistics Version 22. Forty-nine patients were admitted with abdominal trauma. The majority was male (87.8%) and Malay (61.2%). Mean age was 31.6 years old (range 3-75). The most frequent type was blunt trauma (95.9%); its most common cause was motor vehicle accident (85.7%). Abdominal trauma was associated with other injuries in 75.5% of cases. The most common associated injuries were chest injuries (44.9%), followed by skeletal (40.8%) and soft tissue injuries (26.5%). FAST were done on 89.8% of patients, CECT scan (61.2%) and ultrasonogram (18.4%). The liver was injured in 49.0% of patients, spleen 49.0% and bowel 14.3%. Fifty-one percent of patient had single abdominal organ injury, 16.3% had 2 organs and 24.5% had 3. The majority of patients were treated non-operatively (61.2%). Four patients died of polytrauma (8.2%). Most trauma patients are young male. Abdominal trauma is commonly associated with other injuries but most can be treated non-operatively

This study aims to examine and analyze the influence of transformational leadership, organizational culture, and work motivation on employee performance of PT XYZ. The sampling method used is proportional random sampling. From a population of 100 employees with a sample of 80 employees. The method of analysis used in this study is multiple linear regressions. The results showed that transformational leadership, organizational culture, and work motivation together (simultaneously) have a significant effect on performance. Partially transformational leadership and organizational culture have a significant positive effect on performance. Organizational culture and work motivation have a significant positive effect on performance.

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.

The Scarlet Letter has aroused people‟s attention since its publication. The analysis of the protagonist, Hester Prynne in the novel, has always been a heated topic at home and abroad. Scholars have interpreted Hester Prynne from many perspectives like Archetypal Criticism, Modernism or Feminism, especially eco-feminism. Therefore, this article tries to extend the previous‟ studies in terms of Androgyny. Based on the theory of Androgyny, this article aims to analyze both the femininity and masculinity of Hester Prynne, which is to reveal the deconstruction of binary opposition in the traditional viewpoint of sexuality. Hester Prynne's femininity can be interpreted from her feminine charm and maternity, while her masculinity can be analyzed from rebellious spirit and survivability. Besides, this article explores the influence of Hester's androgynous characteristics on herself, Dimmesdale, Chillingworth and other people around her, which is to embody Hester's self-growth. As a result of her innermost androgyny, Hester grows from an unworldly young woman to a strong-willed, independent and mature woman.

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

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.