February 2018

Background: Shoulder Impingement syndrome (SIS) is the second common musculoskeletal pain condition. Shoulder girdle muscle imbalance, tight posterior capsule and cervical core instability have been implicated as contributing factors. The alignment of the cervical spine is important to the forces transmitted through the upper extremity and the shoulder joint, However the effect of cervical core stability in treatment of SIS are not conclusively studied. Objective: The purpose of this study was to investigate the effect of cervical stability exercises (CSEs) on shoulder joint proprioception (active joint angular reproduction, at 300 internal and external rotations) in patients with unilateral SIS. Subjects and methods: Thirty five patients (two groups) had participated in this study. Group A; consists of 18 patients, with mean age of 32 years. Group B; consists of 17 patients, with mean age of 32 years. Each patient was assessed for shoulder proprioception using bubble inclinometer. Agreement of the Ethical Committee of Faculty of physical therapy was obtained on December 2016, before beginning of the study. Results: There was statistical significant effect of CSEs on shoulder proprioception at 30o IR (Internal Rotation) (t=-3.23, P=0.001) (not at ER (External Rotation)), in patients with unilateral SIS. Conclusion: CSEs could affect shoulder proprioception in patients with unilateral SIS.

Actual systems of water supply are endangered by decreasing of ground water level, due to the mining activities in the vicinity. By this way, the capacity of water sources for inhabitants is decreasing, too. Realized study, using several basic equations of fluid mechanics, presents various possibilities, how to cover the water deficiency.

The financial engineering is vital for the Islamic finance because its survival and development depend on the degree of the innovation and the originality of products offered by the latter. Indeed, the financial engineering can create new crenels, spread the existing market and create business opportunities allowing the Islamic financial institutions to offer more products to a customers, bigger variety provide the market of a multitude of choices. The Islamic finance contrary to what we can believe supplies the basic elements which can be used to build the most complex financial instruments which are going to improve the liquidity and to offer the management tools of risk. In this work, we are going to approach the Islamic financial principles of the engineering, then we are going to move on with the challenges to which is confronted to clarify the process of development of products within the framework of the Islamic finance, we shall base on studies developed in International colloquiums, publications of research, scientific journals and doctoral theses. We find finally that the form, the bottom and the substance of the contracts which should be respected during the structuring of a financial product, as well as the vision restricted of the understanding of the conformity of Chari'ah in the only respect for the legality of the contractual and technical forms must be changed, as well as undid emerge from the bad understanding of maqassid Al-Chari ' Ah, from maslaha and from darourah.

Hemorrhoids (arsha) are one of the most common problem of the anal region, affect as much as half of the population. Suffering from hemorrhoids is not only painful but embarrassing as well. Hemorrhoids are swollen, dilared veins and capillaries around the anal region. They may be classifies as either internal or external. Many not only know how to relief hemorrhoids but how to relief fast and naturally. In allopathic medical science, many procedures are described for treatment of haemorrhoids, In which haemorrhoidectomy is common used to, but after this procedure possibility of reappearance of the disease is common. But in Ayurveda management of Arsha has been indicated viz. Kshar Karma show us proudfull results in management of Arsha.

Infrastructural development like building schools, vocational training centres, clinics and hospitals is one of the mandate of Rural District Councils (RDC) in Zimbabwe. They should also construct and repair roads as well as provide the much needed facilities for orphans, vulnerable children and the elderly. This study, therefore, sought to explore solutions tothe challenges in the provision of such service by the Nkayi Rural District Council with a view to capacitate the council staff. The study opted for the qualitative case study research design because it isa useful tool in understanding the nature of problems (Weist, 2011) such as challenges faced by Rural District Councils (RDCs). Using purposive sampling, in-depth interviews were carried out with 10 participants who included 3 business persons,3 Heads of schools, 3 Non-Governmental Organisation Coordinators (NGOs) and a health official. Four key informants were also purposively identified from the local council board and workers at Nkayi Rural District Council. The study finally carried out two Focus Group Discussions (FGD) withparticipants who were identified using convenience sampling.Findings revealed that Nkayi Rural District Council is supposed to offer the following social services; health, social welfare, housing, environmental hygiene, protectiveservices,recreational facilities, water and other rate based utilities. Further, the studyrevealedthat the council is facing challenges in delivering its mandated services to the communities due to inadequate and/ or mismanagement of both physical and financial resources, unskilled human resources, political and government interferenceas well as lack of participation of its citizens in community projects. Based on these findings, the study recommendedthe Nkayi RDCto closely work with all stakeholders involved in the community’s development, such as the councillors, chiefs and other subsidiary staff members in other departments who complement its effort in service delivery. Furthermore, there is need for a concerted effort in revenue collection by the council in order to meet its financial obligations.All stakeholders are also encouraged to reportany forms of vice within their communities, as a way of curbing thefts, vandalism of state property and mismanagement of council assets. Finally, NkayiRDC staff have to constantly attend, developmental training workshopsin order to gaincurrent and relevant skills on service delivery.

Male of 36 years of age, when being in a sports activity, suffers fall of his support plane with support on his right ankle in investment and forced varus, WITH bone deformity in the lateral region of the ankle, with inability for the mobility arcs. In the emergency department, a right deformity with varus deformity was observed, with significant edema of the lateral region of the ankle, with incapacity for mobility, without distal neurovascular compromise. X-rays are requested and a lateral closed dislocation of the talus is observed, with integrity of both malleoli. In the Tomography of the right ankle where it is observed with a complete dislocation of the talus towards the lateral with 180 degrees rotation of the talus. In the operating room closed reduction maneuvers are performed under anesthesia, being irreducible. An open reduction and fixation with 0.062 kirschner nails is performed. During the postoperative period with favorable clinical evolution, Follow-up is continued through outpatient consultation, nails are removed at 6 weeks, partial and progressive limb support is initiated, and sent to physical therapy. Two years after his condition, he is asymptomatic, with full mobility arches, no claudication for gait and neurovascular disorders. In radiological control, a normal joint congruency is observed, without avascular necrosis or osteoarthritis.

This paper is addresses to ‘untouchable’ peoples who are living in India. These peoples are identified as ‘untouchables’ in the country of India. There are lots of castes in India who are identified ‘untouchables.’ But these people were called before ‘Dalit’ when constitution has come to in being ‘Dalit’ word is dropped and introduced ‘untouchables.’ These peoples are very poor, sincere, combative and loyal. From the ancient period we can see these peoples were harassed, exploited, extorted and molestated by the aristocratic people. Still these people were stand again and fought for their right and self pride but always suppressed by those people. But our Indian constitution gave equal right to all still these peoples are struggling and fighting for the justice.

Woman Constitute 48 percent of the total population of the Country. They suffer many disadvantages as compared to man in literary rates, labour participation rate and earnings. The development of women has been receiving attention of the Govt. of India from the first plan. For full development of our human resources, the improvement of homes, for the moulding the character of children during the most impressionable years of infancy, the education of woman is even greater important than that of man. Late JL Nehru rightly stressed that “education of boy is education of one person, but education of girl is the education of the entire family.” It is through the education of women, that we can expect better atmosphere at homes, better hygienic condition, greater production, greater reduction in the fertility rate (so essential for our economic prosperity), and happier family life. Under the New Education Policy, the expansion of woman education has been emphasized. Eradication of women’s literacy will receive top-priority. Major emphasis will be placed on woman participation in technical, vocational and professional courses at different level. By these courses the age old gap between technical and vocational curriculum of boys and girls will be removed and they will be provided opportunities for technical, vocational and professional education on the basis of equality and equity. Only by education and skill development we regard women status in the society. Special schemes and funds required for them should be provided on at priority basis. Greater attention will have to be paid to the problems of training and employment of women. Teaching, Nursing, and Social Service are well recognized areas where women can have a useful role to play. So that education can solve all these problems and to provides facilities to women. Also several new avenues will have to be opened to them with the help of education and skills development. The aim and objective of this paper is to study that how education and skill development can empower a woman for her personality development and her status in family and society in which she lives. Even, the year 2001 was celebrated – as “The women’s empowerment year” which aim at imparting self reliance to woman through income generating skills along with group organization skills. Human resources development and empowerment of women unlock the doors for modernization. 8th March is also observed as International woman day to show respect and dignity to woman is all over the world.

Cancer has been the most threatening disease and it is the only disease which has 100 types in it. This disease has killed millions of people all over the world every year. There have been loads of Anti cancer drugs which are being introduced which would help in treating cancer patients. Melphalan, methotexate, cisplatin has been commonly used in chemotherapy for varied types of cancers. One of those few anti cancer drugs which are rarely used is Bleomycin. There has been lot of research developments being done and various drug interactions being conducted on this drug. This review article discusses about all those research developments and drug interactions conducted and also we would analyze the efficacy of this drug in providing better drug action to treat the patients. This drug in combination with Cisplatin and Etoposide would help in treatment of Non-seminomatous germ cell tumours (NSGCT).According to another study this drug also induces Pulmonary fibrosis is independent of eosinophils. Another study helps in evaluating the action of Bleomycin which may cause histological, immunohistochemical and biochemical changes in the pulmonary alveoli of adult male albino rats after it’s administration. One more study states that Bleomycin has better efficacy in drug action when it is administered in oil emulsion than that of W/O emulsion. Another study helps in assessing the sustained delivery and enhanced efficacy of pirfenidone-loaded nano particles after intra tracheal instillation.