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 paper discussed on small and medium scale industries pathway to Nigeria economic development. It also point out the problems facing the entrepreneurship development of Nigeria economy. It also examines the importance of entrepreneurship in Nigeria. The methodology adopted was systematic review method. It also found that entrepreneurship can enhance economic development in Nigeria primarily by generating employment opportunity. The study also revealed that initiatives by government failed because of over bearing bureaucracies, corruption, inadequate and inefficient infrastructure facilities, financial backup and maladministration. The paper also recommended that government and banks should recognize the important entrepreneurship to her economic development growth by providing the enabling environment for small and medium scale industry to develop. Specifically, government should provide infrastructural facilities (electricity, road network, and communication). It is also recommended that government should reactivate all the institutions established to promote small and medium scale industries in Nigeria.

In the work, modeling of the forming process for aluminum detail was carried out. As a detail, "Pen" is chosen for which the material AK6M2 is determined, taking into account its physico-chemical properties. In the beginning, a 3D detail model is constructed, using the SolidWorks program. Then in the program Nova Flow, entire process of filling the mold in real time, rate of filling the mold cavity with metal, hardening time of the casting was determined. The temperature change dynamics of the casting after filling the mold is investigated. Possible nodes are susceptible to formation of shrinkage shells.

The rupture of the calcaneal tendon is a frequent lesion requiring surgical management. For chronic disruption in particular, restorative surgery is desirable and several methods have been described. We report a retrospective study of eight cases of chronic rupture of the calcaneal tendon treated surgically by myotendinousplasty in V-Y according to Abraham, collected in the Traumatology and Orthopedics II department of the Mohammed V Military Teaching Hospital in Rabat Morocco between 2010 and 2015. The majority of patients were male. The cause of chronic rupture of the calcaneal tendon was a diagnostic error in 25% of the cases, a lack of knowledge of the pathology in 62.5% of the cases and negligence in 12.5% of the cases. The results were evaluated according to the Kitaoka score after an average follow-up of three years. They were very satisfied with a score of 89%. The aim of this study is to highlight the difficulty of making the diagnosis in certain circumstances, which is the cause of chronic rupture and to underline the interest of the surgical treatment, by the myotendinousplasty "V-Y" in this case

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.

This study was carried out to investigate the prevalence profile of cutaneous adverse drug reactions (CADRs) on in patients at Tongji hospital. A retrospective study was carried out on in-patients at Tongji medical college, Huazhong university of Science and Technology from May 1985 to April 2012. Out of 110553 in-patients 777 cases were diagnosed as CADRs. The most common type of CADRs was maculopapular eruption followed by Erythema multiforme, Fixed drug eruption and urticaria. The most common drugs causing CADRs was antibiotics followed by antiepileptic drugs, antipyretics and analgesics. The most common type of CADRs was maculopapular eruptions followed by erythema multiforme, fixed drug eruption and urticaria. The main offending drug was antibiotics followed by antiepileptic drugs, antipyretics and analgesics

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).

The present study was carried out to evaluate the protective role of aqueous extract of Mentha spicata (MSE) leaf on dichlorvos (DDVP) induced oxidative stress in rat brain. Male rats were divided into 4 groups, the first group served as control (C). Group (E1) received 5.33mg/Kg BW of DDVP and group (E2) received 5.33mg/Kg BW of DDVP with MSE (100.0 mg/kg) and the group (E3) received MSE (100.0 mg/kg). Rats under all the groups were treated with their respective constituents for 30 days. The results suggested that rats under E1 suffered from significant (p<0.01) decline in the activity of superoxide dismutase, catalase, glutathione peroxidase with a significant elevation in the levels of malondialdehyde of their brain. Histological changes were also found to be prominent in the brain of E1 group as compared to others. Rats under E2 showed recuperation tendencies which were evidenced by partial restoration of antioxidant enzyme activity and the lesser degree of damage in histological aspect as compared to E1. No significant changes were observed in either biochemical constituents or histological aspects of rats under E3. The current study suggests that DDVP can cause oxidative damage and brain injury in male rats and co-administration of MSE with the selected dose partially attenuates the toxic effect caused by DDVP

This research is undertaken at the Secondary Level of Bangladesh Open University (BOU). It attempts to present the frequency of Code-switching and students‟ perception towards it and their functions in facilitating EFL learning. Using questionnaires as a method of data collection, the findings reveal that instructors frequently code-switched between Bangla and English. This phenomena was related to both teachers‟ and students‟ language competence. Students exhibit positive perceptions towards it as a learning tool. Analyses of data reveal that Code-switching helps students to learn their lessons. Moreover, the students are welcoming codeswitching very much.

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

This article presents results of the study on 100 patients with pathology of gastrointestinal tract (erosive bulbitis, nonspecific ulcerative colitis, chronic gastritis, ulcer disease and gastric cancer) in order to investigate association of these pathologies with different genotypes of Helicobacter pylori in Uzbekistan. The researches showed, that the most frequent association with Cag+ was noted in the patients with ulcer disease and gastric cancer, and in a less degree with erosive bulbitis and nonspecific ulcerative colitis.

This is a retrospective study over a period of 5 years, from January 2011 to December 2015, which concerns 21 cases of laryngeal cancers that have undergone total laryngectomy. The average age of our patients was 60 years old, chronic smoking is incriminated in 71% of cases with an average consumption of 40 packs / year. Ethylism was found in 23% of cases. The time between onset of clinical signs and first consultation was on average 10 months. Dysphonia was the revealing sign in 76% of patients, most often associated with dyspnea. Panendoscopy with biopsy was systematically done to all of our patients, confirming the diagnosis of squamous cell carcinoma (100%), also paraclinical imaging revealed the extension of the tumor. Stage 3 TNM were most often found at the time of the diagnosis. In our studies, all of our 21 patients underwent total laryngectomy supplemented with radiotherapy for the sterilization of the tumor bed and ganglionic areas, except one patient who presented a permeation nodule. Postoperative course was grossly simple. No recurrences were noted. The deaths of two patients were deplored

This article will give an overview on the issues pertaining to death in custody ranging from custodial death cases, inquests, protection of detainees in police custody, and constitutional rights of the detainees. The cases of custodial deaths due to police brutality are a serious issue. Studies show that the figures of custodial deaths due to misfeasance of the police in Malaysia are alarming. This of course will undermine and erode the public’s confidence in the police force for death in custody will raises the public interest and attracts media attention. It is one of the worst crimes in a society governed by the rule of law, and poses a serious threat to an orderly civilised society. Torture in custody infringes the basic rights of the citizens and is an affront to human dignity. Hence, it is important to pay urgent attention to this matter, and drastic measures should be taken to avoid or reduce the deaths in police custody. At the end of the article, the writer will make recommendations for the purpose of improving the present system.

Traditional plant treatment for diabetes has produced a rising interest now a day. Therefore, the purpose of this study was to determine the hypoglycemic effect and hypolipidemic properties of the methanolic extract of Hoya parasitica Variegata (Apocynaceae) and ethanolic extract of Crotalaria pallida Aiton (Fabaceae) in alloxan induced diabetic rats. In this study diabetes was induced in rats by intraperitoneal administration of 100 mg/kg of alloxan. Animals were only treated for one week with both the plant extracts at doses of 300 and 600 mg/kg. Metformin (100 mg/kg) was used as standard for comparison. The antidiabetic effect was examined by measuring blood glucose (BG) level at 0, 3, 5 and 7 days after alloxan treatment. Blood samples were collected after 8 days treatment and analyzed for triglyceride (TG), total cholesterol (TC), high density lipoprotein cholesterol (HDL-C) and low density lipoprotein cholesterol (LDL-C) at sacrifice. Both the plants H. parasitica and C. pallida at 300 mg/kg and 600 mg/kg showed significant (p<0.05) hypoglycemic effect compared to control and untreated diabetic control rats. Alloxan induced diabetic rats showed moderate to significant increases in the levels of BG, TG, TC, LDL-C while body weight, HDL-C and relative weights of liver and pancreas were decreased to controls (non diabetic rats). Administration of both the plant extracts to alloxan induced diabetic rats resulted in significant decrease in BG, TG, TC and LDL-C and the dose 600 mg/kg of both plant extracts were the most effective. HDL-C levels for both plants were markedly increased after treatment compare to untreated diabetic rats. Results of the treatment study showed that both H. parasitica and C. pallida extracts causes antidiabetogenic properties and beneficial effects on diabetic hyperlipidemia.

Transformational Leadership of the State Senior High School in Empowering Superior Schools, Dissertation of Islamic Education Management Postgraduate Program UIN Sulthan Thaha Saifuddin Jambi 2018. The problem studied in this dissertation is the leadership capability of headmaster's leadership in empowering the excellent schools in Jambi Province. The purpose of this study is to: (1). Finding transformational leadership of the leading school principal in Jambi Province, (2) Revealing the transformational leadership characteristics of principals who are able to empower the leading schools in Jambi province (3) Revealing the principal transformational leadership of the principal's leadership in the empowerment of excellent schools in Jambi Province. This research uses qualitative methodology , data collection is done through observation, interview, and documentation, the analysis is triangulated with case study at the existing superior SMAN in Jambi Province, namely SMAN 1 Jambi city, SMAN 1 Kuala Tungkal, and SMAN 8 Merangin. The results of this research indicate that the headmaster's transformational leadership can empower the leading schools and the demand by the community due to the commitment and efforts of the principal, parent support, communication systems and good management of school governance, oriented towards the achievement of vision and mission, disciplined, organized and able to empower all potentials. The empowerment of excellent schools is done by empowering the stakeholders, establishing cooperation with the government and private parties, promoting, equipping facilities and infrastructure, creating superior learning and extra curricular programs, reward and punishment, and improving the capacity of educators and education personnel. The principal in his role as a transformational leader to empower the leading schools as: Sharing vision, strategizing, making changes, empowering, motivating inspiration, cooperating, overcoming obstacles, getting around the rules, and becoming uswah.