July 2018

Background: Neck pain is among the most common chronic pain problems, with a reported prevalence of 22–30%. Objective: To test the validity and reliability of arabic-language version of cervical spine Bournemouth questionnaire for neck pain patient. Method: Seventy patients with neck pain were recruited and 115 sheets (test and retest sheets) were filled out and three expert panels (each consists of ten experts) participated in this study, forward translation, development of preliminary initially translated version, backward translation, development of the pre-final version and testing of pre-final version using experts then testing of the final version on patients was done. Clarity index, expert proportion of clearance, index of content validity, expert proportion of relevance, descriptive statistics, missed item index, Cronbach’s alpha and Pearson correlation coefficient were used for statistical analysis. Results: The study showed that scale index of clarity equals 100%, scale-level clarity index universal agreement equals 100%, scale index of content validity equals 100%, scale-level content validity index universal agreement equals 100%, the scale items were filled by 96.52% % in all sheets, the scale needed less than or equal five minutes to answer in about 97.4% all sheets, Cronbach's alpha equals 0.891 and all Pearson correlations between test and retest results were statistically significant. Conclusion: Arabic-language version of Bournemouth questionnaire is valid and reliable enough to measure cervical pain in neck patient.

Modern hospitals slowly have left their main purpose as public service facility and have moved to business orientation. For that reason, they always had to enhance the professionalism as well as continuously innovate in order to win business competition as well as to earn maximum profit. Previous researches provided results on impact of marketing mix to customer’s loyalty. However, the impact of marketing mix particularly on patient loyalty to hospital, whether directly or mediated by hospital brand image, was still under observed. The purpose of this research was to investigate how far does marketing mix may enhance the loyalty of patient’s in a hospital as mediated by brand image of the hospital. Five mixes were chosen namely product, people, price, place, and promotion. Data in the form of questionnaire were collected from 195 recurring patient of outpatient department in a profit oriented company managed hospital in Jakarta. The data was then processed using Structural Equation Modeling (SEM). The result of this research showed that marketing mix brought significant impact to hospital image while hospital image significantly impacted patient loyalty. Hospital image was able to be significant intervening variable between marketing mix and patient loyalty.

Investigation on the influence of board involvement on price earning was carried out using both the correlation and the multiple regression models to analyze publicly available data for a sample of 69 firms from 11 sectors quoted in the Nigerian Stock Exchange for the fiscal year 2011. This indicates that the research made use of cross sectional data. Several diagnostic tests have been applied to justify the validity of the results. The empirical investigations reveal that directors’ shareholdings, firm’s age and firm’s leverage are significant. Good corporate governance standards are very essential to every organization and should be encouraged and practiced for the interest of the investors, shareholders and other stakeholders. From a developing economy, this paper is the first of its kind and offers evidence on the influence of board involvement on price earning. This research provides useful information that is of great value to policy makers, academia, corporate firms and other stakeholders.

To understand the dynamics of Dengue transmission particularly in areas having construction sites of Gandhinagar district to plan and implement effective control measures.The study was conducted covering 3 Primary Health centers viz. Uvarsad, Adraj and Sughad where maximum construction sites were located. Detailed analysis of Dengue cases detected was undertaken. 64% of the confirmed cases were male patients, while 61 % falls in the age group of 20 to 45 years. 42 % of the total dengue cases in the district were contributed by the three PHCs where construction sites were more. Entomological survey revealed that 73% of positive mosquito breeding places were due to stagnation of water in under construction buildings. The study clearly brings out the fact that construction sites create an ideal environment for the transmission of vector borne diseases like Dengue. To prevent transmission top down driven activities involving contractors and site managers needs to be effectively implemented. Adequate preventive measures at the construction sites and enforcement of legislative measures with penalty are necessary.

Kawasaki disease is an acute systemic vasculitis of children. In the adult, it’s extremely rare, usually diagnosed by coronary artery aneurysms. We report the case of a 22-year-old patient with coronary artery aneurysms observed in coronary angiography evoking Kawasaki disease. We will discuss the peculiarities of this coronary disease with review of the literature.

Background: Different studies proved that the homoeopathic medicine “Belladonna 200C” can abate the Japanese encephalitis virus infection in experimental models. The aim of this study is to find out the recent evidence based information which will be supportive to treat the Japanese Encephalitis virus infection according to severity of disease (JE) stratified in different stages. Methods: A review of important recent studies regarding the treatment of Japanese encephalitis was made and analyzed for extraction of newer ways of homoeopathic treatment in JE.A final protocol for treatment in different stages of JE was formulated accordingly. Results: After detailed analysis of all evidences, three homoeopathic medicines--Belladonna, Helleborus and Phosphorus were found specifically effective in three different stages according to severity and complications of the disease. Belladonna is useful in first stage of encephalitis without effusion. Helleborus is effective in the second stage of the disease with effusion, stupor, dragging of legs and developing paralysis. Finally the Phosphorus is indicated when complete paralysis appears due to inflammation and degeneration of brain cells. Conclusion: This new outlook of treatment may decrease mortality and morbidity of JE virus infection besides reducing the complication and disability rates.