Hemosiderotic Fibrolipomatous Tumor (HFLT) and pleomorphic hyalinizing angiectatic tumor of soft parts (PHAT) are rare, locally aggressive neoplasms with overlapping morphological and immunohistochemical features. HFLT is a recently described neoplasm whose cytological features have not been widely described in the literature. We present the cytological and histopathological features of this case because of its rarity and the intermediate features exhibited in this tumor, suggesting a continuous spectrum of tumors of uncertain differentiation, which includes both HFLT and PHAT. A 29 year old female presented with a painful swelling over the dorsum of foot for 1½ months. FNA of the swelling showed features of a spindle cell neoplasm with marked pleomorphism, cytoplasmic pigment, intranuclear and intracytoplasmic inclusions. A possibility of a sarcoma was given. Histopathological examination of the excised specimen showed features in favor of a soft tissue tumor of intermediate malignancy of uncertain type. Immunohistochemistry showed immunoreactivity for CD34 and negativity for CD31, S-100, HMB-45, Melan-A and pancytokeratin. These findings favoured the possibility of a HFLT. An early PHAT was also considered owing to considerable overlap seen in these two tumors.

Atherogenic cardiovascular risk assessment is important in the management of dyslipidaemia associated with antiretroviral therapy (ART). Generally, Castelli’s Risk Index (CRI), Atherogenic Index of Plasma (AIP) and Atherogenic coefficient (AC) are becoming useful indices as risk predictors for cardiovascular disease (CVD). We studied the importance of these indices in identifying at-risk HIV individuals receiving treatment. Eighty (80) HIV-patients comprising treatment (n=40) and treatment-naïve (n=40) groups with age- and sex-matched were enrolled. Traditional lipid parameters {Total cholesterol (TC), Triglycerol (TG), and HDLc} were analyzed using spectrophotometry. The LDLc was calculated using Friedewald equation. Non-HDLc, CRI-I (TC/HDLc ratio) and CRI-II (LDLc/HDLc ratio), AIP {Log10 (TG/HDL-c)} and AC {(Non-HDLc)/HDLc} were also calculated. The CD4+ cell count was determined using flow cytometry. The correlations between atherogenic indices and lipid profile were determined using Pearson’s correlation.

Abstract: The study sought to investigate the influence of knowledge management systems on performance of small and medium enterprises. The study was anchored on systems theory. Descriptive cross sectional research design was adopted. Owners and employees of small and medium enterprises in Nanyuki town were targeted. Stratified random sampling technique was used to select a sample of 115 respondents. Data was analyzed using descriptive and inferential statistics and regression analysis was used to establish the relationships between the variables. The findings were presented in tables and figures. The findings showed that knowledge management systems were lowly adopted by SMEs especially for feedback and decision support systems. Knowledge management systems (p=0.11) was not found to be statistically significant. It was concluded that majority of managers and employees did not have awareness of these systems. Failure to adopt these systems therefore remains the gap in the performance of SMEs. The study recommended that SME owners and employees should be sensitized about knowledge systems to enable them adopt the same and enhance performance.

The rate of non-fatal deliberate self-harm (DSH) in Sri Lanka has increased in recent years, with associated morbidity and economic cost to the country. Pesticide ingestion is the commonest mode of suicide in Asia with an estimated loss of around 300,000 lives every year. We conducted a cross-sectional observational study in patients with 12 years of age and above who were admitted with deliberate self-harm (DSH) in Teaching Hospital Batticaloa, SriLanka. Of the 121 patients observed 83 (68.6%) females and 38 (31.4%) males. Among them, 119 (98.34%) cases (1.65%)) were of intentional poisoning and only two cases (1.44%) were of accidental poisoning. In this study, the majority of victims 47(38.84%) were young age group (20-29). Forty-two (34.71%) were teenagers.In the present study, the commonest poisoning agent was yellow oleander seeds 33 (27.3 %) followed by organophosphorus compounds 23(19%) and Paracetamol overdose 22 (18.2%). These findings support a strategy of limiting easy access to pesticides and oleander, and for improving the supply and effectiveness of antidotes, as a strategy for reducing fatal self- poisoning in rural SriLanka

Abstract: Today, the tremendous possibilities that arise with scientific advancements in medicine, biotechnology, and affiliated sciences are distinct and clear. And so are the abuses, negative implications, and ethical dilemmas that arise with such revolutionary technology. As a civilized global society, it is our responsibility to ensure that such achievements may not be marred by the negligent actions of a few. The potential of gene modification technology is very exciting indeed, but we need to advance with caution for the sake of the safety of our global community. The aim of this article is to highlight the current practices and experimentations being conducted in the field of genetic engineering, the laws or the lack of laws pertaining to genetic engineering, the ethical concerns that arise from dwelling into such experiments and the Islamic perspective on this issue. It is concluded that the status quo restricts scientists from conducting unauthorised experiments based on a voluntary moratorium. There should be well defined boundaries that do not create unethical issues while at the same time promote research in this field which has the potential to cure diseases and improve the well-being of humankind.

Perinatal mortality rate is an important indicator of community health status. This study is to analyze the cause of perinatal death in Teaching Hospital, Batticaloa. A retrospective study was done over a period of last three and half years from January 2014 to June 2017, which included total 21,079 deliveries out of which 204 perinatal deaths occurred, hence perinatal mortality rate was 12.51 per 1000 birth on 2014, 15.11 per 1000 birth on 2015 and 13.28 per 1000 birth on 2016. The causes of perinatal deaths and risk factors were identified and analyzed. Out of 204 perinatal deaths, majority (53.4%) occurred due to pretermwith or without associated other factors, majority (87.2%) of perinatal death occurred in maternal age of 20-39 years, and found to be more common in (64.8%) multigravida patients and majority of perinatal deaths (58.3%) occurred during early neonatal period. Early identification of mothers at risk of pregnancy complications, especially intrauterine growth restricted fetuses, through antenatal care screening, educating pregnant women to recognize warning signs of pregnancy complications, timely access to obstetric care, monitoring of labour for fetal distress, and proper newborn resuscitation may reduce some of the categories of deaths. Fetal autopsy in future could detect many unknown causes. There should also be increased communication to work closelybetween neonatology team and obstetric team to bring down perinatal mortality

This article relates precarious work, a symbol and axis of social relations in contemporary capitalism, to one of its most negative aspects relating to the generation of social barbarism that mainly affects working classes around the world.

Odontogenic tumors represent a heterogeneous group of rare lesions accounting for about 1% of all jaw tumors. This work was carried out in order to evaluate the demographic and the histopathological characteristics of these tumors in Hassan II University Hospital, Fez, Morocco. This is a retrospective study including all cases of odontogenic tumors histologically diagnosed during a period of 10 years (2007-2016), in the department of pathology, Hassan II University Hospital, Fez, Morocco. Different demographic and histopathological characteristics have been analysed. A total of 31 odontogenic tumors were recorded. We noted a male predominance with a sex -ratio of 1.81. Mean age was 39.7 years (range, 7–87 years). The mandibular location was predominant with a maxillary/ mandibular ratio of 1: 1.21. Except one case of malignant odontogenic tumor, all other cases were benign. Ameloblastoma was the most common type (64.5%), followed by odontogenic myxoma/fibromyxoma and cementoma. In this series, odontogenic tumors have similarities and differences with those of previous series. We noted a male predominance, a more advanced age at diagnosis, and predominance of mandibular location and of ameloblastoma

Abstract: Tax non-compliance reduces tax collection and the tax performance within a country. The Kenyan government has implemented various strategies to bring businesses in the informal sector into the tax bracket though available data shows declines in the collected taxes. The purpose of this study was to identify predictors of tax compliance in the informal sector in Nyeri Town. Specifically the study aimed to assess how tax rates, attitudes towards government spending, complexity of tax returns and tax enforcement strategies influence tax compliance. The study adopted a cross-sectional survey design and targeted 715 informal businesses in Nyeri Town. Stratified random sampling technique was used to select 143 informal businesses to participate. Researcher-administered questionnaires were used to collect data from the respondents. Descriptive statistics entailing frequency distribution, percentages, mean, were used to summarize and organize data. Inferential statistics entailing Chi-square tests and correlation analysis were employed to establish relationships between study variables. Findings were presented using tables of frequencies and percentages. A significant number (83%) indicated that they’d be more willing to pay taxes if the tax enforcement strategies were improved. The study found that tax enforcement strategies had no significant relationship (p=0.068) with tax compliance at 95% confidence level The study also found that tax enforcement strategies had a weak positive correlation (r=0.364) with tax compliance. The study concluded although to a small extent, tax enforcement strategies predicted tax compliance in the informal sector. It was recommended that the tax enforcement strategies could be improved by bringing the services closer to their businesses, to enhance tax compliance.

Squamous cell carcinoma of the male urethra is an exceptional tumor. All types tumors of the urethra representing less than 1% of urinary tract tumors. The prognosis remains unfavorable. We report the ninth case observed which manifested by a transtumoral spontaneous breaking of squamous cell carcinoma of the urethra in a patient aged 58 years-old. He was treated by external irradiation associated with chemotherapy, and died after progression of the disease. The spontaneous breaking of tumor of the urethra is an exceptional discovery testifying to a local evolution unfavorable, making these tumors difficult to operate. However, current hope lies in therapeutic protocols combining radio-chemotherapy.

Since independence in 1960 from British colonial rule, the various leadership of Nigeria have adopted various developmental strategies with view to reduce or to some extent do away with poverty but it could not, due to the complex nature of the country‟s poverty which can be termed as chronic. This is because poverty in Nigeria is persistent. It is estimated that up to 70% of Nigerians are living below poverty line. Nigeria has been branded by the international community as the second most corrupt nation in the World. For three consecutive years, 2000, 2001 and 2002, it has maintained that unenviable position. The rating came up as a consequence of several failed attempts by the administration to wipe out corruption and poverty or reduce them to a tolerable level in the polity. It is absolutely frustrating when one realizes the immense potentials in Nigeria. Sixteen years is enough time for any administration to sort out the fundamental problem of the country (poverty). All the recent poverty alleviation and development programs and initiatives are geared toward realizing the number one (1) Millennium Development Goal (MDGs), which is to eradicate extreme poverty and hunger by the year 2015. We have passed the deadline to the target of MDGs, these policies and programs are judged to be unsatisfactory and inadequate in meeting the MDGs. This therefore, necessitates the need for an elaborate study to critically assess the interplay between corruption, development and chronic poverty in Nigeria. The question to be asked is what are the problems of Nigeria‟s poverty reduction policies and development plans? To answer this fundamental question the paper clearly argued that Nigeria does not need any new policy on development and chronic poverty. All it needs is seriousness in terms of the implementation of existing policies to address the chronic nature of the Nigerian poverty. Nigerians need to sit up with a view to addressing corruption in all its ramifications. This is the only way Nigeria would get out of the shackle of chronic poverty and by extension development in general.

This study aims to examine and analyze the influence of Institutional Image, Price, and Service Quality on Decision Choosing Futsal Young Indonesian School either partially or simultaneously. Research data from survey in the form of questionnaire. Sampling method used in this research is purposive sampling method, as many as 85 respondents selected to this sample by using Slovin formula. Quantitative analysis method using multiple linear regression analysis, followed by determination analysis (R Square), partial hypothesis testing (t test) and simultaneous (F test) with alpha 5 percent (0,05), before further analyzed first data quality test and classical assumption test were performed. Analyze tool using SPSS version 23 for windows. The results showed that the institutional image, price, and quality of service partially have a positive and significant influence on the decision to choose School Futsal Young Indonesian. Institutional Image, Price, and Service Quality have positive and significant influence on Decision Choosing School Futsal Young Indonesian either partially or simultaneously. Price has a very dominant influence on the decision to choose School Futsal Young Indonesian. There are still many other factors that influence the decision to choose school futsal that is equal to 38 percent which is still needed further research.

Abstract: Tax non-compliance reduces tax collection and the tax performance within a country. The Kenyan government has implemented various strategies to bring businesses in the informal sector into the tax bracket. However, available data shows that tax collections from the informal sector are above average but on a declining trend. The purpose of this study was to identify the influence of complexity of tax returns on tax compliance in the informal sector in Nyeri Town. The study adopted a cross-sectional survey design and targeted 715 informal businesses in Nyeri Town. Stratified random sampling technique was used to select 143 informal businesses to participate. Researcher-administered questionnaires were used to collect data from the respondents. Descriptive methods such as frequency distribution, percentages, mean, were used to summarize and organize data. Chi-square tests and correlation analysis were employed to establish relationships between study variables. Findings were presented using tables of frequencies and percentages, Majority (71%) of the participants indicated that they could not calculate their tax returns on their own. The study found that complexity of tax returns had a significant relationship (p=0.001) with tax compliance at 95% confidence level. The researcher therefore concludes that there is a significant relationship between complexity of tax returns and tax compliance It was recommended that the government should commit monies to eservice delivery to enhance tax compliance.

The voluntary religious undertaking of fasting has attracted scientific, religious and popular interest due to its supposed health benefits. The objective of this study was to determine the effects of intermittent fasting on such parameters as body weight, blood glucose, uric acid and blood lipid profile among healthy volunteers.Seventy-five consenting Muslim medical students resident in the medical students’ hostel of the College of Medical Sciences, University of Maiduguri, Nigeria were recruited during the month of Ramadan 1428AH corresponding to September 2007. Anthropometric measurements and biochemical indices including plasma glucose, triglyceride (TG), cholesterol, high density lipoprotein (HDL), low density lipoprotein (LDL) and uric acid were evaluated a week before, three weeks into and a month after Ramadan.BMI showed significant difference in all subjects during and after Ramadan fasting, however the body weight and BMI parameters were insignificant in gender analysis. We also recorded no overall changes in total cholesterol, TG and LDL during Ramadan. However, significant increase in HDL and a slight increase in plasma glucose levels were noted during Ramadan. Further, there weresignificant increases in TG level during Ramadan and in both TG and total cholesterol after Ramadan in females. However, the atherogenic index decreased in males. BMI, total cholesterol, LDL, uric acid and atherogenic index were all decreased in overweight subjects.Females demonstrated increases in TG before Ramadan and in both TG and total cholesterol after Ramadan. Differences in the levels of physical activity, eating pattern and the fact that not all females completed the Ramadan fasting may be responsible for this observation

This study was carried out during a 4 months period from December 2012 to March 2013. A total of 140 fresh and frozen ground beef samples were purchased from local butchers and supermarkets in Alexandria. Each of the ground beef sample was analyzed for its microbiological quality (total plate count, total coliform count and E. coli count). Regarding the type of meat, and according to their APC, fresh meat proved to be unsatisfactory in a higher percentage than fresh meat. However according to the TCC parameter, frozen meat samples were a little higher than the fresh meat samples, but in E. coli parameter the frozen meat percentage much higher than fresh meat.