January 2018

Our work is closed to the framework of the good management for the Afenourir’s lake (Morocco), and its biodiversity, for its restoration and maintenance of all kinds of anthropic activities (overgrazing, pumping, etc.). It consists of the analysis and identification of the floristic biodiversity of lake during the period April-June 2015 in order to study its quality. Indeed, floristic species play a major role in the production and protection of soils against erosion, as well as maintaining substrate and the balance of the aquatic ecosystem, and can also be bioindicators of pollution. The flora of this wetland shows a lower floristic richness in terms of aquatic flora, which represents only 5 species including Ranunculus aquatilis, Zannichellia palustris, Myriophyllum Spicatum, Chara Globularis, Eleocharis uniglumis and Scirpus Lacustris; On the other hand terrestrial flora shows a diversity of species such as Cedrus atlantica, Quercus rotundifolia, Crataegus laciniata Ucr, Eryngium Bourgatii, Thymelaea virgata, Euphorbia nicaensis, Anacyclus pyrethrum L, Plantago coronopus L, Ilex aquifolium and Acer monspessulanum L.

Background: India’s first nationwide thyroid health study, “The Thyroid Environment is the most Epidemiological study” revealed that 10% of the population suffers from Hypothyroidism. Drug-based treatments do not cure the condition, but palliate it, supplementing missing thyroid hormones. In contrast, Äyurveda treats the disease as an imbalance, prescribing diet and lifestyle modification, Ähära-Vihära, for its management. Here we report a case-series study of 13 hypothyroidism patients treated by Ähära-Vihära along with fresh herbal juices (Rasähära), and Yoga. Aim: To identify general life-style causes of hypothyroidism, and evaluate effects of Ähära-Vihära treatments. Methods: Entry data of 137 hypothyroidism patients attending four Rasähära clinics in the city of Bhopal was analyzed for life-style problems; health changes before, during and after life-style modification are reported for 13 representative cases. Results: 111 had other Kaphaja and Pittaja diseases along with hypothyroidism. 100 habitually delayed eating lunch after heavy breakfasts. 61 (of 86 with data) were late risers, all causes of kapha roga. 12 out of 13 patients reduced thyroid supplements by varying amounts. Discussion: Failure to resolve Kapha and Pitta imbalances caused by factors like delayed meal and sleeping times, and late rising and afternoon sleep, combined with suppression of Kapha and Pitta imbalance conditions may lead to Hypothyroidism.

The socio-economic level is used to discriminate social, political, educational, consumption of products and media; Caries is a disease that occurs in all social strata. Objective. To determine the prevalence of caries with respect to the socio-economic level at university clinics. Methodology. Descriptive-transversal study. By compiling identification forms, AMAI questionnaire (8x7), CPOD. Results. 1416 patients were interviewed, with caries distributed: 74.7% UAZ, 89.1% UV, 60.4% UAS, 19.6% BUAP, 39.5% UATLX. Regarding the Socio-economic Level: in the UAZ level A/B with 34.7%, level C+ in UV, UAS, BUAP with 27.4% for UATLx level D 25.3%. Finding significance in stadistics related to CPOD with Universities. Conclusion: It was determined a high prevalence of caries on patients from different Socio-economiclevels.

This study attempts to explain the process and mechanism of health service model claim with BPJS facility in private hospitals type C. Object of this study was medical record of BPJS patients at RS PKU Muhammadiyah Gampinghospital. This study was done in RS PKU Muhammadiyah Gamping. Emergency Department services at the hospital include OneDay Care and One Day Care Surgery services. An interesting finding in this study revealed that the verification process of BPJS claims by the verifiers at RS PKU Muhammadiyah Gamping has not run as expected because the verifiers were often not available atthe hospital and lack of similar perceptions among verifiers at RS PKU Muhammadiyah Gamping. The implementation of BPJS claim verification at RS PKU Muhammadiyah Gamping has not run well due to the medical personnel or doctor in charge of patient (DPJP) was incomplete in filling the medical record. The cause of non-compliance with BPJS claims at RS PKU Muhammadiyah Gamping wasthe incompatible codingorgroupingof diagnosis into INA-CBG’s system. This is due to the lack of understanding on medical record at RS PKU Muhammadiyah Gamping that causes differences between INA-CBG’s package with the verifier results of RS PKU Muhammadiyah Gamping.

Despite their different mechanism of action, the antitumor efficacy of overall anticancer therapies would depend not only on their antitumor cytotoxic activity, but also on the immune biological response of cancer patients, which is the result of interactions between immunostimulatory and immunosuppressive events. Today, it is known that the anticancer immunity is mainly depending on T helper (TH) (CD4+) and dendritic cells, whereas it inhibited by the macrophage system and regulatory T lymphocytes (T reg) (CD4+CD25+). Moreover the generation of T reg cells has been proven to be stimulated by macrophage-mediated chronic inflammatory status related to cancer progression. Therefore, it becomes to be clinically important to identify possible inexpensive biomarkers able to investigate and to define the immunoinflammatory status of cancer patients with the respect to more expensive analyses, such as the measurement of lymphocytes subset and cytokines blood concentration. Recent clinical studies have shown the common available inexpensive routinely laboratory analyses, such as lymphocytes-to-monocyte ratio (LMR) may reflect the immunoinflammatory status of cancer patients, since lymphocyte and monocyte count are respectively related to the anticancer immunity and to his macrophage mediated suppression. On this basis, a study was planned to establish which correlation may exist between LMR and lymphocyte subsets, namely T reg cells, in metastatic cancer patients. The study included 30 metastatic cancer patients, who were affected by the most common solid neoplasm. LMR and TH-TO-T reg ratio were considered to be normal when they were greater than 2.1 and greater than 10. Abnormally low values of LMR and TH-TO-T reg ratio were observed in 14/30 (47%) and in 16/30 (53%) patients, respectively. Patients with abnormally low values of TH-TO-T reg ratio showed significantly mean values of LMR than those with normal values. Moreover, a significantly positive correlation was observed between TH-TO-T reg ratio and LMR values. On the contrary, LMR was negatively correlated to T reg cell percentage. The results of this preliminary study would suggest that LMR may represent the best surrogate inexpensive biomarker with the respect to other most complex and expensive immune analyses to monitor the status of the immunoinflammatory biological response of cancer patients.

Objecive: The objective of the study to investigate the correlation of vitamin D level with body mass index and waist circumference in diabetic population. Patients and Methods: An observational cross-sectional study on 100 subjects (male=55 and female=45), age range 30-60 year, was performed. Subjects underwent physical examination and biochemical testing. Subjects included were newly diagnosed or previously diagnosed case of diabetes mellitus. Analysis was performed using SPSS Statistical package for windows (SPSS VERSION 20). Results: Only 6% of the subjects had optimal level of vitamin D level and 67% of subjects were deficient. There were highly significant inverse association of waist circumference and body mass index (BMI) with vitamin D level (p-value 0.001). There were also inverse association of fasting blood glucose and HbA1C with vitamin D level (p-value 0.014 and <0.001 respectively) in diabetic population. Conclusion: Our results suggest correlation of vitamin D level with body mass index and waist circumference in diabetic population.

Schiff bases and their complexes are versatile compounds synthesized from the condensation of an amino compound with carbonyl compounds and widely used for industrial purposes and also exhibit a broad range of biological activities including antifungal, antibacterial, antimalarial, antiproliferative, anti-inflammatory, antiviral, and antipyretic properties. A few ferrocenyl Schiff bases have been isolated by the condensation of Formyl ferrocene and acetyl ferrocene with 4-methyl ortho-phenylene diamine, orthoamino naphthol and ortho-amino naphthoic acid. Reactions of these ferrocenyl Schiff bases with copper(II) cobalt(II) and nickel(II) salts in varied reaction conditions, Yield new complexes of the type M(L)2 and also some mixed ligand complexes of the type M(L)(X)(NH3) (where HL is mono basic bidentate ferrocenyl Schiff base, M=Ni(II), Cu(II), Co(II) and X=(OH/Cl). Cobalt (III) complexes of the type Co(L)2(OH)(NH3) are also isolated. The compounds have been characterized on the basis of elemental analysis, molar conductance, molecular weights, magnetic susceptibilities and spectroscopic (Electronic and infrared) data.

Aerva lanata (L.) root of the family Amaranthaceae is a Indian medicinal plant used traditionally for the management of Raktavikara, Sopha (Sotha), Dusta Vrana. The drug Gorakṣagañja is a good diuretic and the roots are given in dysuria (mūtra krichhra) and calculus (aśmari) (Halliwell, 2008). It is used for alleviating diseases caused by kapha and vāta doṣ. The roots are used (particularly in southern India) as an effective diuretic drug specially for calculus, as substitute or a source plant of Pāṣāṇabhēda. Studies that show the pharmacological basis for some of such uses have been reported. There is, however, no scientific report on its antioxidant activity of aqueous ethanol extract to the best of our knowledge. This study was therefore aimed at investigating the antioxidant Activity of aqueous ethanol extract of Aerva lanata. The antioxidant activity of aqueous ethanol extracts of root was evaluated by various in vitro antioxidant assays such as evaluation of reducing power, DPPH radical scavenging activity, nitric oxide scavenging activity, superoxide anion scavenging activity. These results conclude that A. lanata root possesses high antioxidant activity and can be used for the development of natural and safe antioxidant compounds.

International tourism trade shows are an essential instrument in the marketing of goods and services. Trade shows establish direct relationships between supply and demand, and provide the opportunity for particular marketing activities. A growing body of academic and practitioner trade shows literature has highlighted the relationship between trade show marketing strategies and the trade shows performance. However, the effect of exhibitor experience in the international trade show marketing strategy and performance relationship has not been addressed in the literature. Thus, this paper fills the gap by examining the moderating role of exhibitor trust, commitment and satisfaction during their trading experience at selected trade shows. The purpose of this study is 1) to identify the concepts of experiential marketing in international tourism trade show; 2) to determine the dimensions of exhibitor trading experience at international tourism trade show; 3) to develop a conceptual framework regarding the relationship between the exhibitors trading experience and trade show performance; 4) to propose a new perspective to see exhibitor’s performance in international trade show from an experiental standpoint. A theoretical model of exhibitors experience to trade shows performance was develop drawing on research from the realms of exhibitor behaviour, experiential marketing, goverment support and trade show performance. Consistent with a positivist methodology, a questionnaire was developed and tested, data collected from 100 respondents and structural equation modelling used to test the theoretical and competing models. This study will provide an initial understanding of the nature of the experiences of exhibitors at international trade shows. In reporting corresponding exhibitor responses, this study will also contribute to research on trade show performance.

Triple-negative breast cancer (sometimes abbreviated TNBC) refers to any breast cancer that does not express the genes for estrogen receptor (ER), progesterone receptor (PR) or Her2/neu, detected in 8-20% of cases, the most aggressive with a poor prognosis.. Breast cancer (BC) is the most frequent tumor worldwide. In 2016, 1,380,000 new cases and 458,000 deaths for BC were reported worldwide, of which there were 332,000 new cases and 79,000 deaths in Asia. Although the improvement in early diagnosis and adjuvant therapy has reduced mortality, BC is still the main cause of death for cancer in women both in industrialized and in developing countries. In Uzbekistan, BC is the most frequent tumor in women (47%), with about 17,000 new cases diagnosed in 2016. BC is a heterogeneous disease, and therefore, a “golden standard” treatment, suitable for all the molecular types of cancer, is not available. The most important biological markers, not only for classification of BC but also for, the therapeutic strategy are the hormonal receptors (estrogen (ER] and progesterone (PgR] receptor) and the HER2 receptor status. This article provides a literature review in terms of perceptions of prevalence, etiology, risk factors, diagnosis, therapeutic strategies and prognoses of triple negative breast cancer.

Agricultural finance possesses its usefulness to the farmers, lenders and extension workers. The economic principles of farm financial management facilitate in obtaining control over capital and its efficient use. The investment analysis pertaining to income, repayment capacity and risk bearing ability determine the amount of capital a farm business can profitably and safely use. Hence, the farmer can determine his credit worthiness and can put forth his loan application with confidence to lender. The present study an attempt to analyze the agriculture advances by commercial banks. This study is based on secondary data. The analysis was made by the application of trend analysis; calculate ratios and chi- square test with time series analysis. Major finding of the study is that agriculture lending by sample bank has failed to reach the target which given by RBI during the study period.

The present document is the reported a case of a complete congenital AV block of female without having previously undiagnosed during gestation, and which is detected at 38 weeks, thus necessitating the cesarea by fetal bradycardia. Requiring maneuvering of resuscitation and management of intensive therapy for definitive treatment, as a matter of paramount importance the mother is healthy without the presence of some autoimmune disease and the neonate did not present any structural alteration like isomerism or some truncal anomaly.

There are different variables involved in the teaching and learning process. Taha (1980) had already referred to three important elements in the equation: materials, teachers and teaching style, students and learning style. Each one of these variables and many other factors may be a cause of language attrition. The present paper investigates the phenomenon of language attrition among the basic school pupils; particularly, lexical or vocabulary attrition, i.e. why the linguistic information becomes inaccessible to the individual. There are many factors of language attrition. The present paper approaches this issue from teacher's perspective. Could we argue that the teachers' lack of the three fundamental requirements for effective teaching: a reasonable level of competence in English and training in and understanding of various methods of teaching, the four language skills in the classroom and the ability to adapt methods and materials to their own classroom environment may be one of the reasons of lexical attrition among the basic school pupils in the Sudan; Omderman? To achieve its objectives, two tools of data collection were used: evaluation checklist and observation. It is found that the teachers by their behavior inside the classroom contributed in the occurrence of the phenomenon of lexical attrition among the Sudanese basic school pupils.

Conjunctival Myxomais a rare benign neoplasm, with a Mesenchymal origin. We emphasize the importance of excisionalbiopsies to diagnoseindeterminateconjunctivallesions. The patient present schemos is and translucentconjunctival mass in therighteye, he under went a next ensive evaluation as well as multidisciplinary management, with out evidence of systemicdiseaseassociated with Conjunctival Myxoma was found. The complete excision of the tumor is the optimal treatment as itcontributes to the his to pathological examination for confirmation. The importance of an adequate diagnosis is to demonstrate the existence of anundetected síndrome, allowing a comprehensive evaluation treatment and multidisciplinary follow-up.

Introduction: Inguinal hernia in children can threaten life or cause loss of organs. It requires an elective surgical approach, through open surgery or laparoscopic. Objective: To compare the results of laparoscopic surgery versus open technique in indirect inguinal hernia in pediatric patients operated on in the General Hospital High Specialty Naval. Material and methods: longitudinal, prospective, comparative and quasi-experimental study, typical clinical practice trial type, pediatric cases with hernia were analyzed indirect inguinal operated at the High Specialty Naval General Hospital during the period 2015-2017. Results: 66 patients were included, between 1 month and 16 years of age. 51.5% is underwent minimally invasive surgery and 48.5% open surgery, they were not found differences in trans-surgical complications (p 0.73) or postsurgical complications (p 0.10), nor in surgical time, while the time of stay and recovery were significantly lower in the laparoscopic surgery group. Conclusions: Both surgical techniques are safe, but laparoscopic surgery.It offers the advantage of identifying other alterations and performing the repair in the same surgical event, reduces the time of stay and the recovery time.

Background: there is little information about the prevalence of kidney disease in early stages, especially focused on pediatric age, this is because the disease is asymptomatic during these stages, a timely diagnosis with strict follow up Objective: to know the prevalence of kidney disease in apparently healthy children with risk factors. Methodology: a cross-sectional, descriptive, observational study in children who attended the outpatient clinic of pediatrics identified with risk factor by means of a questionnaire, analysis of the analyzed parameters and laboratory studies to evaluate the renal function, the data obtained were analyzed by means of statistics descriptive to report frequencies, percentages and measures of central tendency (mean and median) and dispersion (range and standard deviation). Results: 33 patients were studied, 18 of the male gender corresponding to 54. 5% with predominance of patients of school age; 15 women of the female sex with 45. 4%. Of the variables to demonstrate kidney disease, significant proteinuria was found in 6. 1% and hematuria in 21. 2%, this in 11 patients corresponding to 33. 3% of the sample cataloged with evidence of kidney disease at the time of the study. Conclusion: it is important to implement screening studies in this type of patients with known risk factors for chronic kidney disease, even if they are asymptomatic, since they may present early stages of the disease.

Background: There are currently a large number of elderly patients with hip fracture who require surgical treatment; However, it can be delayed by the intake of antiaggregants, which justifies the present study to avoid delaying the definitive treatment and thus reduce the associated morbidity and mortality. Objective: To establish the behavior of platelet mapping in patients with chronic intake of antiaggregants that have required surgical treatment for hip fracture. Methods: 51 patients were included in the HOSGEAES from 2015 to 2016. They were divided into three groups: A. Acetylsalicylic acid (n = 22), B. Clopidogrel (n = 22) and C. Dual therapy (n = 7). The universal variables were recorded, coagulation tests result of platelet mapping and percentage of inhibition. The analysis of variance was applied to compare three or more means, Chi square or Fisher's exact test. The data were processed with the SPSS 17 package, p <0.05 was taken as statistical significance. Results The abnormal platelet mapping rate was 62.7% vs 37.3% normal. The most unfavorable antiaggregant was dual therapy, 54.5% in those taking acetylsalicylic acid (p = 0.02). The presence of Arterial Hypertension was significantly associated with normal platelet mapping (p = 0.01); In the stratified analysis, it was observed that 100% of the patients in group C had SAH and abnormal platelet mapping compared to 55% in group B and 44.4% in those in group A (p = 0.03). Conclusions 19 patients (37.3%) resulted with normal platelet mapping, 10 patients belong to group A (19.7%), 9 patients (17.7%) to group B; therefore, they can be operated on for the hip fracture without further delaying the procedure. The combination of acetylsalicylic acid with clopidogrel (group C) should be carefully evaluated since it alters platelet mapping in 100% of cases. The presence of Arterial Hypertension is an important covariate associated to both the mapping alteration and the combined use of both drugs.

Food fermentation has a long tradition of improving the safety, shelf life and acceptability of foods. However, some notable outbreaks of food borne illness associated with fermented foods have occurred. The efficiency of one of the most common Sudanese fermentation methods of millet flour, using Dura (Sorghum) starter, in a preparation of hygienic millet starters for the production of indigenous foods was investigated. Two millet starters, Wad Ashana (pH 3.96 at 35.2°C) and Sudan II (pH 4 at 35.2 °C) were traditionally prepared. Millet flour was mixed with water extract of dura starter (pH=3.32 at 36.3 °C) in a 1:2 (wt/vol) ratio and left at room temperature (35 to 38°C) for about 24 h. Then, the starters were dried using a laboratory air oven adjusted at 47°C for overnight. The total bacterial count and yeast of Wad Ashana were 4.5×107 cfu/g and 5.5×104 cfu/g respectively and those of Sudan II were 8.6×107 and 6.6×105 cfu/g respectively. The microorganisms involved were Lactobacillus plantarum, Streptococcus lactis, Streptococcus cremoris, and Pediococcus pentosaceus. Saccharomyces cerevisiae was also found to contribute in millet fermentation process. With the only exception of Streptococcus cremoris, the starters showed the same microbial content after 17 months storage period at 6-8°C.

Background: The usage of tablet or media tablet computers have become a viable consumer alternative to traditional notebook (laptop) and desktop computing modes. The light weight of the tablet makes it with the users everywhere and so the users spend many hours using it. Objective: This study was conducted to investigate the effect tablet use on muscle performance of wrist and elbow and the effect of period of tablet usage. Methods: The current study was conducted on 60 subjects. They were assigned randomly into three equal studies groups A, B and C with their mean ages were (23±2.63), (22.8±3.01) and (23.4±2.47) years respectively. Peak torque of right elbow flexors and right wrist extensors were measured for groups using Biodex system 3 isokinetic dynamometer. Results: The study revealed that the median score of the peak torque of right elbow flexors at 120 degrees/sec of "group A", "group B", and "Group C" showed there were significant differences (p=0.0001). Mann-Whitney U test (post hoc tests) revealedthat there was no significant difference of the mean values of the "post" test between (group A versus B) with (p=0.383). While, there was significant difference among (group A versus C), and (group B versus C) with (p=0.001) and (p=0.0001) respectively and this significant increase in favor of group (B) and group (A) than group (C). The study also revealed that the median score of the peak torque of right elbow flexors at 120 degrees/sec of "group A", "group B", and "Group C" showed there were significant differences (p=0. 003). Mann-Whitney U test (post hoc tests) revealedthat there was no significant difference of the mean values of the "post" test between (group A versus B) with (p=0.155). While, there was significant difference among (group A versus C), and (group B versus C) with (p=0.001) and (p=0.037) respectively and this significant increase in favor of group (B) and group (A) than group (C). Conclusion: Our study revealed that the peak torque of wrist extensors and elbow flexors of subjects using tablet more than four hours were less than those using tablet two hours and those not using tablet and this show the effect of misuse of tablet on muscle performance in normal subjects.

Gender equality and empowerment plays an important role in economic development. In India, despite the fact that female literacy and education enrollment rates have been rising, today it has lower levels of women’s workforce participation than many countries in Sub-Saharan Africa and the Middle East. This paper is made an attempt to explore the major objectives like, to review the global trend of women work participation in general, to study the women work participation status in India and Karnataka and suggest steps to increase women work participation rate. This paper is based on the information gathered through available secondary sources and literature reviews. It is found that the percentage of women in South Asia was much lower than the global average of 51.1 per cent, and it was much lower than the percentage of women in East Asia, which was 66.4 per cent. As per Census 2011 workers constituted 39.79 percent of total population whereas the ratio of female workers was 25.51 per cent. In Karnataka as per Census of India 2011, only 23.39 percent of women workers are participated in main work force against 52.80 percent of male work force. Based on this I have come up with some suggestions to improve the women participation rate in India. Government has to launch policies that include sectors which are friendly to women increasing women’s participation in labour markets and policies will be needed to encourage women to overcome social and cultural constraints.