Enteric fevers are a common occurrence in pediatric patients especially in rural and tribal areas where the conditions of sanitation are generally poor. The common causative organisms are gram-negative bacteria Salmonella Typhi and Salmonella Paratyphi A. There is a limited data regarding the burden of the disease in Tribal Adilabad region. With this background, we in the present study tried to evaluate the prevalence of enteric fever in pediatric patients with RIMS Adilabad. Method: The data were collected from the Department of Pediatrics, Rajiv Gandhi Institute of Medical Sciences [RIMS], Adilabad from August-October 2017. All the febrile patients attending the pediatric OPD, Rajiv Gandhi Institute of Media [RIMS] presenting with clinical signs and symptoms of typhoid fever and the fever were lasting for more than 3 days. They were not on antibiotic therapy. A total of [n=66] 34 male and 32 female patients aged 0-14 years were found to have positive cultures for S.typhi. Patients were treated with ceftriaxone IV dosage based on the 100 mg/kg IV 24h for 10-14 days Results: the Most important symptom of typhoid is fever which was seen in all the 66 (100%) of cases involved in the study. The next common symptom was headache in 37 (56.06%) of cases followed by hypotension 22 (33.33%), diarrhea 21(31.81%), Abdominal pain 19 (28.79%), constipation 18 (27.27%), vomiting 14 (21.21 %) and only 7 (10.60%) and 6 (9.0 %) presented with cough and bradycardia. Maximum 45.45% patients get rid of typhoid fever after one week of medication. 22.73% of patients get rid of typhoid fever in two weeks of medication. 9.0% were cleared of infection after 3 weeks of medication. Conclusion: Typhoid fever is common in this group of the population especially in children. Fever, diarrhea and abdominal pain were the major clinical symptoms. No multi-drug resistant S.typhi was found in this population. Increase awareness regarding hygiene maintenance, sanitation and vaccinations in the population is required to reduce the burden of the disease in this area

Traumatic dental injuries are very common and mainly affect children and adolescents. Maxillary incisors are more prone to fracture. It affects the facial appearance of the patient. This case report described the management of avulsed maxillary right lateral incisor with longer extra alveolar dry time in a 15 year old healthy boy. Replantation is the only treatment of the choice. Before replantation, root surface was cleaned with scaler and then placed in sodium fluoride for 20 minutes. Extra oral root canal treatment was done. The replanted tooth was secured with wire-composite splint for 4 weeks. After one year follow-up, the tooth was asymptomatic, normal mobility, normal percussion sound, no radiographic evidence of resorption, bone loss and periapical pathology.

Iron deficiency anemia is widely prevalent nutritional disorder worldwide, resulting in oxidative stress which in turn leads to cardiovascular diseases, cancer, diabetes mellitus and ageing. Oxidative stress and iron levels were studied in 84 subjects, 36 of whom were anemic (Hb <11 gm/dl) and 48 healthy subjects who were taken as controls. In these subjects serum iron, Total Antioxidant Capacity, superoxide dismutase and malondialdehyde levels were estimated. In the present study it was found that anemic subjects had higher oxidative stress as compared to controls and female anemia subjects were more affected than males. Preventive action may help in reducing the morbidities caused by the oxidative stress

An overview about the situation of electronic government in Libya is presented in this paper. In addition, to provide number of studies that related to the electronic government adoption in both developed and developing countries. The findings indicted that the adoption of electronic government in developing countries especially still in the first stage and the governments should be pay attention towards the adoption of electronic government services.

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.

As a remarkable Victorian novelist, Charlotte Bronte wrote four impressive novels including Jane Eyre and The Professor. Jane Eyre proves to be a typical Victorian book, fascinating and enduring, whereas The Professor, the first complete novel that Charlotte Bronte wrote has always been considered as minor and illconceived. Despite the totally different judgments of the two novels, there exists many similarities between Jane Eyre and The Professor. This paper aims at helping readers have a better understanding of The Professor by comparing with Jane Eyre from two aspects: genre and theme, and try to find out the similarities of Jane Eyre and The Professor, thus we can have a further understanding of Charlotte Bronte.

Napier grass is a popular tropical grass, employed by farmers in livestock nutrition. In this work, the matrices of matured shoots of P. purpureum (schumach) commonly called Napier grass, were subjected to proximate analysis, mineral content determination and phytochemical screening. The proximate profile includes moisture (91.00%), total ash (22.20% DW), crude protein (20.11% DW), crude fat (14.00% DW), total carbohydrate (27.24% DW) and the total metabolizable energy value (315.40 kcal/100g DW) was obtained. The mineral content determination revealed the presence of Calcium (1.479 mg/100g), Cadmium (0.001 mg/100g), Copper (0.017 mg/100g), Iron (0.200 mg/100g), Manganese (0.043 mg/100g), Potassium (10.715 mg/100g), Sodium (0.495 mg/100g), and Zinc (0.045 mg/100g). The presence of alkaloids, flavonoids, glycosides, oils, saponins, steroids, tannins, terpenoids and absence of acidic compounds and resins were determined from the phytochemical screening carried out. This result suggests that Napier grass possesses several bioactivities of which antimicrobial activity is likely the significant activity. Also, the proximate composition and mineral content underlines its importance as a health food suitable for weight loss management of obese individuals, due to the high fibre content and low calorie value

Torus is a ridge of bone or muscle that are usually asymptomatic unless ulcerated but may sometimes affect speech and tongue movement, Torus palatinus and torus mandibularis are the most common tori in the oral cavity. The objective of this study was to determine the prevalence of torus palatinus and torus mandibularis among 5-15-year-old schoolchildren. A descriptive cross sectional school based study among 894 children selected by systematic random sampling from 10 basic schools in Khartoum locality. Children were examined by mouth mirror at schools in an upright chair, where presence, size, site of tori in the mandible and maxilla were recorded in check list. Comparison between variables using chi square test with the level of significance set at value <0.05. The prevalence of tori was 25% with the highest occurrence being the palatal 23.7% and mandibular 5.7%, females count was more predominant compared to males 63%, 37% respectively. There was a significance correlation between the age of the children and presence of tori, Also between the presence of mandibular and palatal tori and occurrence of bilateral tori p<0.05. The prevalence of tori was high among basic schoolchildren in Khartoum locality, females were more affected with age 12-15 being the most and the most common site was palatal

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.

Since the 21st Century, China has become increasingly closely related to Latin American countries， and economic and trade cooperation has also increased rapidly. However, there exist various barriers in the process of cooperation between the two sides. Based on the data and descriptive statistics concerning economic and trade cooperation, this paper analyzes barriers, propose countermeasures, and the prospects of the future relationship between China and Latin America.

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.

PBL goes with the trend of the times which is conducive to cultivate students' comprehensive qualities and autonomous learning ability, moreover, to stimulate their creativity, exploration and critical thinking so as to provide the society with interdisciplinary talents. This paper aims to probe into the validity of PBL method in College English reading teaching through the review of PBL theory, the contrast between traditional class and PBL class, and the PBL class design of College English reading so as to lay the foundation for further in-depth teaching and research in the future.

Chronic renal failure is increasingly health problem all around the world with a high burden of mortality and cardio vascular morbidity rate. The study is mainly directed to establish lipid profile in chronic renal failure by ascertaining the levels of serum cholesterol, HDL cholesterol, LDL cholesterol, VLDL cholesterol and triglycerides. In view of this extensive work has been done in the field and incessant efforts are being made to widen the horizon of lipid in chronic renal failure. The present study was aimed to find lipid abnormalities in chronic renal failure. There is significant rise in Triglycerides, VLDL, LDL in chronic renal failure. There is decrease in HDL concentration in chronic renal failure as compared to control. Increased concentration of Triglycerides and VLDL are the main causes for increased incidence of cardiovascular abnormalities in chronic renal failure.

Orthodontic camouflage treatment is an acceptable option for mild to moderate skeletal discrepancies for correcting the malocclusion as well as the skeletal problem. Surgical treatment is the preferred and most stable treatment for adult patients with severe skeletal Class III malocclusion. Patients with borderline dentoalveolar compensation who are not willing to accept the costs, risks, and potential complications of surgery can sometimes be treated successfully with camouflage orthodontics. It is not clear which mechanics are most appropriate or which patients are most likely to benefit from an orthodontic approach to severe skeletal Class III malocclusion. In this article a case report of a camouflage treatment in a skeletal class III malocclusion patient with prognathic mandible with average growth pattern and partially erupted palatally placed upper right canine and retained deciduous right upper canine. The aim of this article is to show that Orthodontic camouflage is an acceptable option for mild skeletal discrepancies that offers esthetic results in the soft tissues as well as correction of malocclusion.

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.