This cross-sectional study aims to find out incidence and severity of stress among undergraduate male and female medical students and explore its association with Body mass index (BMI). A total of 523 young healthy males and females (19- 22 yrs) were categorized as normal, overweight and obese based on their BMI. The level of stress was determined among the participants using PSS-14 questionnaire. Majority of the male participants were found to be overweight with an average BMI 26.95±0.34 while average BMI noted in females was 23.66±1.25. Around 36% of these undergraduate medical students were found to be stressed with average stress score of 26.09± 0.51. In fact among overweight males incidence of stress was 33.66%. However, female subjects showed an increase in percentage prevalence of 94.12% in obese category. Interestingly stress score both in male and females showed a rising trend with maximum in obese being 26.09±0.51 in males and 32.53±1.73 in females. The level of stress was significantly different between obese male and obese females (P<0.00027). Statistically significant correlation (P<0.05) is observed between stress vs. BMI, Stress vs. Weight, Stress vs. Waist Circumference (WC) and stress vs. Hip circumference (HC) in the overweight females. The occurrence and severity of stress is found greater in female undergraduates.

The aim of this study is to analyze the relationships of the knowledge about environment, member’s participation on environment preservation, and member’s capacity to manage environment with the environment perspective of cooperatives’ members. This study was carried out at the ranch area in Leuwiliang, Bogor (2003) with 70 respondents selected by multi stage random sampling. Respondents are ranchers and the members of cooperative. The data were analyzed using simple regression, multiple regressions, simple correlation, and multiple correlations. The study reveals that there are positive relationships between: (1) the knowledge about environment with the environment perspective of cooperatives’ members, (2) member’s participation on environment preservation with the environment perspective of cooperatives’ members, (3) members capacity to manage environment with the environment perspective of cooperatives’ members, and (4) the knowledge about environment, members participation on environment preservation, and members capacity to manage environment, with the environment perspective of cooperatives’ members.

Sudanese values of HbA1c was found to be 3.8% ± 1.17 in males and 3.4% ± 1.17 in females and the diagnostic level of HbA1c was 6.5% according to WHO. The objective of this study was to measure the level of HbA1c in newly diagnosed diabetic Sudanese patients and to compare the results with the normal Sudanese values. This was a hospital based cross sectional pilot study conducted during 2017 in Omdurman teaching hospital, Khartoum state on Sudanese patients attending emergency department with age above 18 years and newly diagnosed with diabetes mellitus. Twenty patients were assessed by questionnaires covering age, family history of DM, physical activity and diet. The BMI was calculated from the weight and height and the blood pressure was measured and 5 ml of venous blood was taken to measure a test of HbA1cusing Nycocard© machine after overnight fasting. The mean of HbA1c in newly discovered males was 11.88%±0.43and in females was 13.26%±0.66%.Female gander was found to be positive relationship to HbA1C but statistically not significant with a p value (0.086). HbA1c level in newly diagnosed diabetic Sudanese patients was found to be very high compared to the normal Sudanese values of HbA1c (3.8% ± 1.17 in males and 3.4% ± 1.17 in females) and to the diagnostic value of HbAIc (6.5%) which might indicate that DM diagnosis was late.

In the state budget of revenues and expenditure (Anggaran Pendapatan dan Belanja Negara - APBN) 2016, tax revenue is targeted to reach 85% of the total state budget. It is a very high target; therefore the workload of the Directorate General of Tax (DGT) is getting higher and larger. In response to this, it is necessary to have changes and to develop the DGT's organization along with other work units, both the changing of the administrative systems and its human resources. One of the changes is the modernization of the tax administration system that has begun in 2002. The Tax Office (TO) is an integrated part of the DGT’s organizational changing. Based on organizational diagnosis result of the tax office of Palembang Seberang Ulu using 6 variables of Weisbord model obtained mean score for all variables were 4,051. Overall, the organizing of the Tax office of Palembang Seberang Ulu could be considered as good or no problematic issues. For the goal variable, relationship variable, leadership and organizational structure variable, reward and working mechanism have been good or not in problem classification. However, the organization of the Tax office of Palembang Seberang Ulu needs to improve the understanding of the objectives/goals, relationship, leadership, organizational structure, reward and working mechanism by finding solutions to all obstacles that hinder the performance of the tax office organization of Palembang Seberang Ulu.

Metastasis of unknown primary origin (MUPO) account for 2–3 % of all malignancies in Western countries and represent a heterogeneous, often aggressive, and clinically challenging group of tumors with early metastatic dissemination for which a standardized diagnostic workup initially fails to identify the site of origin at the time of diagnosis. In the following chapter, we review the possibilities and challenges of tissue-based conventional as well as immunohistochimical procedures to categorize this heterogeneous group of neoplasms. We describe the role of pathology in MUPO diagnosis as part of a multidisciplinary effort primarily involving oncologists, surgeons, radiologists, and pathologists with the ultimate goal to aid in clinical reasoning and decision making.

Every company always wants quality human resources as a valuable asset that is consistently sought and maintained. A company must be able to optimize supporting factor from employee productivity itself to get the optimal result of work. One factor that can improve productivity includes the layout of production facilities and supervision of work that exist in a company. This study aims to determine and analyze the effect of the layout of production facilities and supervision of existing work on production employees of Mawar Bakery. It involves the addition of motivation as a moderating variable to produce good productivity from existing production employees. This research is quantitative descriptive research, and the nature of the research is explanatory. Population includes production employees located at Mawar Pinang Baris, Mawar Setia Budi and Mawar Gatot Subroto involving 132 employees with a sample of 100 employees taken by simple random sampling. Data collection techniques were conducted by documentation studies and distributing questionnaires. The technique of data analysis by using regression analysis of Moderating Regression Analysis (MRA). The result of the test without the effect of moderation indicates that layout of the production facility and work supervision respectively have the positive and significant effect to work productivity of production employees. Work supervision becomes the dominant factor in increasing productivity compared to the layout of production facilities. Test results with moderation effects indicate that motivation is not as a variable that can moderate the influence of job control variables on work productivity of production employees. Thus productivity of production employees will increase if the layout of available facilities and work supervision applied to Mawar Bakery has been following the needs so that production employees can work efficiently.

Facial trauma with retention of foreign material in the wound is of common occurrence. But foreign body impaction secondary to trauma in the neck is rare. Though such cases are common as part of occupational hazards, we rarely come across such cases related to road traffic accidents. Here we present a case report of impacted glass piece in the neck, secondary to a road traffic accident.

Blue Bird is taxi-type public transport. It is a conventional taxi that is very trusted people in Indonesia, especially in Medan. The Blue Bird Taxi is a taxi with a meter that can be trusted compared to other conventional taxis. Several factors can make passengers decide to use Blue Bird, one of which is to increase competitive advantage and utilize e-marketing. This study aims to determine and analyze the influence of competitive advantage and e-marketing to the decision of passengers. The population of this study used 129 students of Master of Management Science, Universitas Sumatera Utara. By using the Slovin formula, the sample number of 98 people is obtained. Data were collected by distributing questionnaires to respondents. Analytical techniques used are multiple linear analysis, classical assumption test, and hypothesis test. The results showed simultaneously competitive, and e-marketing advantages have a positive and significant impact on passenger decisions using Blue Bird and partially competitive advantage, and e-marketing have a positive and significant impact on the decision of passengers when using the taxi.

It is important for any health system to provide Nursing care with great quality and respond the client’s necessities. There are three dimension of nursing care which is used to assess patient’s satisfaction that are Nursing skill, Attention and Somatic Care. Purpose of study is assessing satisfaction of patient’s related quality of nursing care dimension in the government center of Lahore Pakistan. Quantitative descriptive cross sectional study design was used. Simple convenient sampling was used to collect the data from two different government hospitals. Sample size was 200 patients from selected hospital. The results of the study revealed that vast no of respondents (69.9%) were gratified with nursing care provided to them, while others out of 194 respondent, 44 participants are 60.9 % positively remarks that nurses are always cheerful towards the patient .They are mostly kind or soft hearted. 16.5% of 32 respondents are neutral about this question. And 22.7 % respondents 128/194 were having negative response for this statement.69.6% are satisfied and agree with the statement of this question because they thought that nursing is a noble profession and the nurses who works day and night for the well beings of the patient are admire able. Study results showed that mostly participants remained satisfied with care of nursing; consequently they recommended some development particularly with respect to the interpersonal relation. Additional research will be needed to study comprehensive socio cultural and environmental factor related to client gratification regarding nursing quality care

Attitudes towards job-related factors stand as one of the most influential determinants of retention of Human Resource for Health (HRH) in rural areas. Thus, the factors which underlie the attitudes of HRH towards job-related factors of rural job posts are equally important. Thus, this study assesses the inclination of attitudes of HRH towards job-related factors of rural job posts on a sample of 60 HRH who have short period of service and 61 HRH who have long period of service using Mann Whitney U test for independent samples. We tested the jobrelated factors which are commonly referred in HRH researches, namely, opportunity to practice a variety of skills, opportunity of career advancement, support from other staff, autonomy at work place and the extent to which the job is enjoyable due to its relative difficulty. The findings show that HRH who have short period of service have more favorable attitudes towards opportunity to practice a variety of skills and the degree of enjoyment in their jobs than do their counterparts. As a means to retain HRH in rural health facilities in Tanzania, particularly those who have short period of service, the study recommends on fostering favorable attitudes towards job-related factors of rural job posts by focusing on factors of rural job posts to which they have more favorable attitudes.

The widespread use of E-commerce in the world is a new revolution in international trade. But it is regarded as a double-edged sword for the international trade. Some figure that E-commerce has a positive impetus for the development of international trade. The rest holds the view that E-commerce has worsened the trade conditions, especially, in the developing countries, like the massive tax loss. However, there are a few empirical studies on the dynamic relationship between E-commerce and international trade in the developing countries. China as a biggest developing country in the world, therefore, this paper uses the datum from 2000 to 2016 to explore the dynamic relationship between E-commerce and international trade in China via the method of combining theoretical model and empirical analysis. Preforming an empirical analysis under vector error correction model, the empirical analysis results indicate that the long-run relationship between E-commerce and international trade exists in China. More specifically, E-commerce has a positive effect on international trade.

This research is to evaluate the bureaucracy reform program at State Personnel Agency. The evaluation focused on five stages, namely design, installation, process, product and benefit. Qualitative approach used in this research with using discrepansy evaluation model design. Data collecting with in-depth interview, observation and documentation study. Interview conducted with administrator and official of State Personnel Agency as a key informant. Data analyzed quantitatively through data reduction, data display, and conclussion drawing. The evaluation results toward the bureaucratic reform program at State Personnel Agency shows: (1) the program has been well defined which is indicated by an explanation of the urgency aspect, has clear goals and objectives, and equipped with key success indicator for measures program success, (2) the program has been well designed including the formulation of implementation guidelines, resource preparation, work programs, and evaluation and monitoring, (3) implementation of eight areas of changes which cover organizational structuring, structuring of governance management system, structuring of human resources management system, harmonization of legislation, strengthening of supervision, strengthening of performance accountability, public services, mindset and work culture is good. Although generally good, but has not shown the ideal conditions if associated with position of State Personnel Agency as a pioneer and role model for the ministries or other institutions in the implementation of bureaucratic reform program, (4) the implementation of the bureaucratic reform program has given positive results in the improvement of the quality of clean bureaucracy and free of corruption, collusion and nepotism, the quality of public services, and the capacity and performance accountability, and (5) the implementation of bureaucratic reform programs can provide positive benefits in improving bureaucratic governance, enhance the positive image and improve the apparatus job performance. Therefore, State Personnel Agency needed to improve the implementation of bureaucracy reform program continuously in order to achieve the optimal results.

Kenyan SACCO segment makes up a considerable percentage of the country’s savings and this has spurred economy and social development. It has been established that internal environment has a great bearing on the performance of SACCOs. This study investigated the relationship between internal control systems and performance in SACCOs in Nyeri Central Sub-County and was guided Restitution and Internal Control Theory, Agency theory and Control theory. Internal controls were looked at from the perspective of Control Environment, control activities, Risk Assessment and Monitoring all focused on the performance which measured profitability and investment returns. The target population was 26 operating SACCOs in Nyeri Central Sub-County and the respondents was 78 employees working in this SACCOs who were categorized into the loan managers, internal auditors and financial analysts. The research was conducted using both quantitative and qualitative approaches; adopting cross-sectional survey research design. The relevant data was collected using questionnaires, out of 78 employees 68 responded representing 87.2% response rate. Collected data was analyzed using statistical package for social sciences (SPSS) to generate descriptive statistics. Effects of internal controls on the financial performance of SACCOs in Nyeri central sub-county were measured using multiple regression analysis. The results indicated that internal control environment, risk assessment control and activity control had a positive and statistically significant effect on financial performance of SACCOs. Monitoring had a positive but statistically insignificant effect on financial performance of SACCOs. SACCOs should come up with policy that ensures regular and systematic review of the internal control systems and ensure that issues raised are addressed appropriately.

Comparative analysis as well as the elemental composition were carried out on oil samples obtained from three groundnut species namely; Earthnut, pygmy and pignut. .The extraction process was carriedout using soxhlet apparatus with hexane as the extraction solvent. The physicochemical characterization was carried out using standard methods in terms of Iodine value (IV), Free Fatty Acids (FFA), Saponification value and Acid Value (AV).The selected element of Na, Mg. Zn. Fe. Ca. K and p were determined by the use of atomic absorption spectrophotometer model buck VGP connected to a computer. The phosphorus content was determined using the calorimetric method. Proximate Analysis was also carriedout on the three species of ground. From the results of the analysis, Earthnut has 43.7% oil, Pygmy 45.8% and pignut 45.8%.The result of the physicochemical characterization of the oil sample showed that for earthnut the values of 43.72±0.21 IV.

It has been stated in the Constitution of India that freedom of religion is one of the fundamental rights of the people. According to secularism, every citizen of the country has a fundamental right to practice his or her religion. Though practicing a particular religion or changing to other religion is a right but it is matter of great concern that people are converting to other religion due to personal interest on other religion or to get some favour or facilities. So, religious conversion has become the subject of passionate debate in contemporary India. From the early 20th century onwards, it has surfaced again and again in the political realm, in the media and in the courts. During the last few decades the dispute has attained a new climax in the plethora of newspapers, journals, and books whose pages have been devoted to the question of conversion. The most debatable question is if a person exercises the right to conversion and changes his religion then what conflict of law situations it can create under the matrimonial law? In the present paper the author has made an attempt to focus on how the people are lured to convert to other religion especially in the District of Kandhamal of Odisha and the author has tried to justify with the help of a case study. In addition to this, the author has made an attempt to define the concept of religion, religious conversion and its impact. The author has also concentrated on the religious conversion vis-a-vis conflict of matrimonial laws in the light of decided cases. At last, suggestions are made for preventing anti-conversion and to enact a comprehensive law in this regard in India