Abstract: Hairy cell leukaemia (HCL) is a rare lymphoproliferative disorder. Common mode of presentation is the sequelae of bone marrow failure and its complications. Here we report a patient with an extremely rare presentation of recurrent mono arthritis with pancytopenia which preceded months before the diagnosis of HCL, which was confirmed on a subsequent bone marrow examination. Inflammatory and degenerative aetiologies for monoarthritis were excluded. His joint related symptoms subsided on specific treatment for HCL.

Pakistan, a developing country lies in an earthquake prone region with moderate-to-strong ground motions. Recent earthquakes revealed the seismic vulnerability of existing building stock, leading to monetary loss, casualties and fatalities. Kashmir earthquake (2005) resulted in huge loss of lives and livelihood. However, the country lacks tools for earthquake risk assessment and mitigation. The objective of this research work is to develop seismic vulnerabilities of substandard reinforced concrete frame structures for the determination of risk in terms of monetary loss, casualties and fatalities for the Mansehra district of Pakistan under Kashmir earthquake 2005. CFRP retrofit technique is utilized to improve the seismic vulnerability of existing RC building stock for risk mitigation purposes. A hypothetical four story reinforced concrete frame structure, representative of the construction practices in the study region is designed under gravity load. Vulnerability curve is generated by using capacity spectrum method for unconfined and confined structures. Earthquake risk assessment framework for RC frames is developed for socio and economic analysis. Hazard of the region for a single event of Kashmir earthquake 2005 is determined in ArcGIS environment. Using seismic hazard, and seismic vulnerability of confined and unconfined frames, seismic risk in terms of monetary loss, casualties and fatalities is calculated.

Tumors of the central nervous system represent a heterogeneous group of tumors with a varied histopathologic spectrum and a variable frequency. In this study, we retrospectively analysed the epidemiological and the histopathological data of central nervous system tumors collected in our department. This study includes 657 central nervous system tumors histologically diagnosed from 2004 to 2016. It concerns all CNS tumors according to the WHO classification. The characteristics of patients, including age, sex, location, and histologic diagnosis were analyzed. Tumors were equally seen in males and females (sex-ratio=0.99:1). The mean age at the time of diagnosis was 38 years. 24% were children and teenagers. The commonest location was intracranial (92.3%). The primary tumors accounted for 92.8% of CNS tumors. Tumors were benign in 53.5% and malignant in 46.5% of cases. The most common histologic type is astrocytic tumors (30%), followed by meningeal tumors (26.7%). In adults, the three commonest categories were meningothelial tumors, astrocytic tumors and oligodendroglial tumors. For children and teenagers, astrocytic tumors were the most prevalent, followed by embryonal tumors and ependymal tumors. There was a male predominance for astrocytic, ependymal and oligodendroglial tumors and medulloblastomas. In contrast, meningiomas and schwannomas were more frequent in female. The most frequent intracranial tumors were astrocytic tumors, meningeal tumors and embryonal tumors. In spinal cord, meningeal tumors, schwannoma and ependymal tumors were the most prevalent. In the absence of a national register of CNS tumors in Morocco, we performed this study which may reflect epidemiological and histopathological characteristics of these tumors in our region. Globally, our results were in accordance with those of other studies around the world. However, we noted a higher proportion of tumors in children and teenagers

In this paper naphtha feed characterization and reactor modeling are thoroughly investigated. Naphtha feed characterization method is based on the work of proposing candidate components which have the potential to provide behavior similar to the behavior of the original naphtha feed. HYSYS software is used to provide the thermodynamic properties for the different true boiling points distillation cuts of the naphtha feed. Physical and thermodynamic properties of the selected components which represent each volume fraction (cut) are related to the properties obtained from HYSYS. The results which are the predicted molar composition of the lumped chemical species of the feed are compared to the paraffin-naphthene-aromatic (P,N and A) analysis of the studied commercial data. The relative errors of the feed stream are around 5%. The kinetic model and reaction network are based on the major reforming reaction such as dehydrgenation of naphthenes, dehydrocyclization of paraffin, cracking of paraffins and hydrocracking of cycloalkanes. The characterized data and model were bench marked against the real production data of a Libyan local refinery and the final results of the reformer such as outlet temperatures and reformate octane number have shown deviations with the actual operating data which considered in direct relation with weak points inherited to characterization method.

Obesity is becoming a major worldwide health problem associated with a number of diseases. Serotonin (5-HT) is a biogenic neurotransmitter with a well-defined network in the central and peripheral nervous system and plays an important role in the regulation of feeding behavior. Studies revealed that high levels of serotonin are associated with reduced energy intake and its level and function is dependent on the availability of its precursor, tryptophan. Several synthetic serotonin agonists are available in the market to reduce body weight but many of these synthetic drugs were found to have certain side effects. Therefore, there is a great need to search for more economical natural serotonin agonists. Ginseng is a traditional Chinese medicinal herb known for many of its beneficial effects. Present work was designed to evaluate the effect of three week’s oral administration of aqueous extract of herbal tea, made from a Chinese herb Ginseng and Malva Verticillata (GMV) on overweight Albino Wistar rats. We found inverse relationship between body weight and serotonin level in whole brain and also found increased levels of tryptophan and serotonin metabolite 5-hydroxyindoleacetic Acid (5-HIAA) in both plasma and whole brain of test animals.

The incident before tsunami there are several different madrasah management with madrasah today including: first the madrasah is still an improvement in education less meet the needs of each madrasah. Both centralized madrasah education have such weaknesses as focusing only on system level changes rather than on institutional levels. The three improvement of education more emphasis on the availability of system input (interview with the head of madrasah aliyah Darussalam country). The first formulation of the problem why the head of madrasah needs to have managerial competence in improving the quality of management of madrasah aliyah in the post-tsunami country? Second, how is the managerial competence of head of madrasah aliyah in improving the quality of madrasah aliyah management in post tsunami Aceh? The research objectives are first to find out why the head of madrasah needs to have managerial competence in improving the quality of madrasah aliyah post tsunami. Second want to know how the managerial competence of the head of madrasah aliyah in improving the quality of madrasah aliyah management in post tsunami Aceh. The usefulness of this research is theoretically this research is expected to add and deepen the science in the field of management of Islamic education related to managerial competence of head of madrasah aliyah and improvement of management quality at madrasah aliyah.

Malignant phyllodes breast tumors (PT) have been reported to present with unusual characteristics, including aggressive growth and high potential of recurrences. We report a case of a 26 year old women presented to our constitution with local reccurence after several surgery of PT in the right breast, who necessited wide resection and reconstruction of the chest wall

Seemingly quaint and unbearable as it is at the very age of American poetic revolution, Howl seems to raise the extensive attentions of poetic scholars around the world who have been impressed by his leading impression on beat generation and poetic forum owing to his organic integration of his own sexual identity into the poetic publicity and popularity of his poetic production instead of his poetic oneness concerning the spatial form in the poem. To raise poetic scholars‟ academic attention and interest in highlighting the academic values of this poem in this regard, this essay will give a new interpretation of it by making an exploration of its abstract spatial form, perceptive spatial form as well as imaginative spatial form one by one.

Stress is a major problem eventually faced by the students during their studies period. There is an imbalance between environmental conditions and ability of individuals to adapt. When it is concerned with medical students, it has been recognized as the major factor responsible for the negative effect on physical and psychological health. To evaluate stress and perception of physical problem with obesity in medical students. The present descriptive cross-sectional study was conducted in Kathmandu Medical College Teaching Hospital, Duwakot from May 2015 to July 2015. This study encompassed 435 medical students- including both sexes aged 17-27 years. A predesigned and structured questionnaire was used as data collection tool and height and weight were measured and Body Mass Index (BMI) was calculated. In this present study 38.4% (167) were female and 61.6% (268) were male participants. The level of stress was significantly higher in female students when it was compared with male students and various stress associated precipitation factor were also present which was statistically significant as p=<0.05. In this study there was no significant association found between level of stress and perception of physical problem with obesity. Incidence of stress was significantly higher in medical students contributing a leading role in physical and psychological problems. Due to stress students are under the negative effect to perform various activities. The effect of stress and its associated precipitating factor influencing medical student needs to be minimized. The students must practice proper eating behaviors and encourage physical activity to prevent obesity. So, an essential step has to be taken as a first line of detection and defense for better health and wellbeing.

In the current study, the effects of three types of additive (lime, cement and cement kiln dust) on the plasticity of a soil are studied. The results of the study indicate plasticity index are affected by the addition of (cement, lime and cement kiln dust) and the effectiveness of these additives depends on the soil treated and the amount and type of additive used. The main results show that with increase of Additive the plastic limit increases and liquid limit decreases, hence decreases plasticity index and it is revealed that a change of soil texture takes place. While Addicrete BV does not effect on the Atterberg limits or the soil texture of the soil. Then the plasticity properties of the soils including liquid, plasticity and shrinkage limits as well as plasticity index were investigated and compared among the specimens in different mixture proportions. Atterberg limits (Plastic limit “PL”, Liquid limit “LL”, and Plasticity index “PI” = LL-PL) play an important role in soil identification and classification.

Abstract: Effects of tree canopy shades on Below Ground Microbial Load (BGML) were investigated within Federal University Otuoke. A homogenous forest stand was purposefully demarcated into three sample areas of 1 hectare each in order of limited canopy, and total canopy cover. An open field within the same terrain was also demarcated. A 10m×10m sub-samples were demarcated within each sample area and three sample plots were randomly selected from each area for investigation. Twenty trees (10/sample plot) under limited and total canopy cover were randomly picked. Twenty Leaves were randomly collected from each sample tree for leaf area index measurement. Soil samples were collected from 0-30cm under each canopy shade and taken to the laboratory for microbial load analyses. Chi-square test and correlation analyses were used in data analyses. Results showed that closed canopy has the highest microbial load with mean value of 167 x 10-5, followed by Limited canopy (138 x 10-5). Open canopy had the lowest microbial load of 67x105. Chi- square test shows that microbial load was significantly (P<0.05) higher under close canopy than open field. Microbial population was 501 x 10-5 CFU under close canopy, 415 x 10-5 CFU under limited canopy, and 201 x 10-5 CFU in open field. The coefficient of determination (R2) was 0.15 for closed canopy, R2 = 0.21 for limited canopy. There were weak positive correlations between canopy shades and soil microbial load. The practice of clearing woody trees to improve grassland for livestock production is not recommended. More trees on agricultural lands could improve soil health by attracting below ground populations.

Abstract: This article reports on estimating credibility factor using Empirical Bayes Credibility Theory. The credibility factor determined will help insurance companies to determine accurate credibility premium in order to charge aggregate premium that is reasonable in the coming year per risk using credibility premium formula. Thirteen risks/portfolios, from the Metropolitan Insurance Company, Ghana were used for the study. Among other things, the study results reveal that the distribution of all number of claims follows poisson distribution. . The study indicates that motto comprehensive, third party, workman compensation, fire material damage and asset risk had the highest credibility factors (Z_i>0.5 ) showing reliance on expected individual aggregate claims X ̅_i and those with credibility factors (Z_i<0.5) indicating reliance on risk parameter of overall risk E[m(θ)] or Expected Aggregate Claims. The results further indicate that expected range of volume of business in the coming years for all risks/portfolios was estimated as (V_B±t_(α/2) s/(√n) ) and the empirical bayes credibility theory premium was R_p×(V_B±t_(α/2) s/(√n) ).

Abstract: Squamous cell carcinoma (SCC) of the external auditory canal is an uncommon malignancy. Patients of such disease often initially present with nonspecific symptoms, such as ear discharge and otalgia as in chronic otitis media. reatment of EAC carcinomas is generally based on the combination of surgery and radiotherapy. Patients with EAC must initially be treated radically, and for them, early diagnosis and referral to an institution with experience in this kind of surgery is important. In this case report we aim to present a patient with ECA SCC who was misdiagnosed and treated for chronic otitis externa for a long time.

The study investigated the academic success of secondary school students in Ondo State. The study employed the survey design technique. The population for the study consisted of secondary school students III in Ondo State. The sample of 500 students was selected using simple random sampling technique. Three Local Government Areas (LGAs) were selected from the three senatorial district in Ondo State using simple random sampling technique. Fifteen secondary schools were selected from the three LGAs using simple random sampling technique. Thereafter, 500 students were selected across the 15 schools using intact class of the senior secondary school students III. An adapted instrument titled “Personality Traits, Cognitive Styles and Academic Success Questionnaire” (PCAQ) containing four sections was used to collect data from the respondents. Data collected were analysed percentage, Pearson product correlation coefficient and multiple regressions. The results showed that 40.8% of the students possessed high level of academic success; 34.0% had moderate level while the remaining 25.2% of students demonstrated low level of academic success. The results showed that neuroticism with 45.4% was the prevalent trait among the students. Also, the results showed that 68.4% of the students employed field dependent cognitive style. Again, the results showed positive and significant relationship between openness (r = 0.991; p < 0.05); conscientiousness (r = 0.991; p < 0.05), extraversion (r = 0.989; p < 0.05), agreeableness (r = 0.984; p < 0.05) and neuroticism (r = 0.984; p < 0.05) and academic success of students. Further, it was showed that field dependent cognitive style had negative and significant relationship at (r = - 0.477; p < 0.05) while field independent cognitive style had positive and significant relationship (r = 0.989; p < 0.05). The results revealed that openness (t = 6.12; = 0.41); conscientiousness (t = -455; = -024), extraversion (t = 9.1; = 0.28); agreeableness (t = 1.66; = 0.047) and neuroticism (t = 1.92; = 0.055). Also, the results for cognitive styles showed that field dependent (t = - 11.03; = -.069) and field independent yielded (t = 7.12; = 0.00). While the results of openness, extraversion and neuroticism were significant at 0.05 level of confidence, values of agreeableness and conscientiousness were not significant. Also, both field dependent and field independent cognitive styles were significant at 0.05 level of confidence. It was concluded that more students demonstrated neurotic trait and few had high level of academic success.

Abstract: This thesis analyzes the behavioral characteristics of network users on the campus network. After capturing and processing communication data and recovering sessions, we can know the group behaviors of the campus users. What’s more, the use of the diskless computer among the cadets can also be seen from this analysis. On the one hand, such analysis can offer the theoretical basis for campus network. On the other hand, this work can help the administrative know more about the cadets’ study situation on the campus network and make better management. To some degree, the analysis reflects the importance of network users’ behavior analysis network management.